Sutter Health

 

$46,403 - $82,306 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Ensures accurate and appropriate outpatient medical coding and documentation through coaching, training, and monitoring of Sutter clinicians. Monitors training success through encounter audits and ensures corrective action plans are implemented and adhered to. Serves as the local expert on Official Coding and Documentation Guidelines and other internal and external regulatory requirements (e.g. Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.   Daily travel across the Central Valley Region required throughout Solano, Yolo, Sacramento, Amador, Placer, Yuba, Stanislaus, San Joaquin and Merced counties. Qualifications: MINIMUM POSITION QUALIFICATIONS: High School Diploma required. Certified Coding Specialist- Physician Based (CCS-P certification from AHIMA) or Certified Professional Coder (CPC certification from AAPC) or other specialty credentials required. A minimum of 3 years experience of outpatient coding with extensive knowledge in Primary Care outpatient coding AND at least one year experience in outpatient specialty coding required. Demonstrated knowledge of and skill in verbal communication, written communication, problem solving, data analysis, systems thinking, group presentation, group process facilitation, and customer service. Must possess a proficient understanding of the National Correct Coding Initiatives edits (NCCI) and ICD-CM Official Guidelines for coding and reporting. Advanced knowledge of the ICD-10-CM and CPT-4 Classification systems, HCPCS, and Evaluation and Management coding guidelines and thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical professional service specialties. Excellent ability to conduct coding audits and using the findings to create written reports with recommendations; and present education and feedback to facilitate improvement of documentation and coding. Thorough working knowledge of outpatient coding in multiple medical specialties. Working knowledge of relevant federal and state regulations, Medicare and Medicaid guidelines and compliance issues. Ability to independently manage a significant workload and to work efficiently under pressure, meeting established deadlines. Excellent time management and project management skills. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Strong working knowledge of Microsoft Office applications including Word, Excel, and PowerPoint.   PREFERRED QUALIFICATIONS: Associate's degree in Healthcare Administration, Business, Administration, Public Health, Finance, or related field or equivalent education/experience preferred. Specialty Coding certifications within any specialty preferred. Experience developing and conducting training/education sessions for diverse audiences preferred. Experience conducting medical coding audits and quality performance measures preferred. Experience preparing audit report with recommendations; and providing education and feedback to facilitate improvement in documentation and coding.
$38,000 - $49,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Under minimal supervision, the Revenue Cycle – Certified Coder utilizes coding tools and resources to research applicable rules, policies and guidelines to resolve coding defects and ensures correct coding of healthcare services.Researches and resolves denials and coding/carrier related inquiries across multiple specialties.Performs coding risk audits.Upholds Sutter Health standards as well as other applicable medical and coding policies and guidelines.Participates in continuous process improvement projects and workgroups as well as other ad hoc projects, as assigned.Interacts with clinicians, leadership and other personnel across Sutter Health. Qualifications: QUALIFICATIONS EDUCATION High Scholl Diploma required. LICENSURES/CERTIFICATIONS Certified Coder –Must have and maintain current accreditation/credentialing (CPC, CPC-A, CCS-P, etc.) from a nationally recognized organization from AAPC or AHIMA required upon hire. Specialty certification(s) strongly preferred. EXPERIENCE Minimum 2 years coding &/or medical billing experience required. Experience working with third party insurance payers, Medicare, Medicaid &/or Workers’ Compensation strongly preferred. Previous experience using EPIC electronic health record system preferred. SKILLS AND KNOWLEDGE Maintains up-to-date knowledge of CPT, ICD-10-CM and HCPCS code sets, medical coding and documentation standards, required. General understanding of CMS documentation, coding and billing guidelines, required. Demonstrates a practical knowledge and use of medical terminology. Knowledge of computer based encoder systems and accurate data entry skills. General knowledge of Revenue Cycle operations, software applications, including Electronic Health Record systems.
$15.25 - $23.50 hourly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Provides complete and professional administrative and secretarial support for management at the Vice President level. Uses judgment and initiative to complete a variety of projects, prioritize information and requests directed to the VP. Manages the scheduling and calendaring for the VP/Department as well as coordinates meetings including inviting participants, arranging meeting spaces, AV needs, preparing, producing, distributing communications, presentations, reports and meeting packets and other such Department related duties as may be assigned by the VP or his/her designee. Qualifications: Education HS Diploma required Or equivalent education/experience Associate's preferred Or equivalent education/experience   Experience Prior seasoned administrative assistant experience and demonstrated proficiency in advanced secretarial support as typically acquired in 3 to 5 years required.  Experience in a healthcare organization or in a corporate office environment is highly desirable.  Experience in making travel arrangements and tracking expenses preferred.    Skills and Knowledge Excellent communication skills, both oral and written, are required as well as a sound knowledge of the English language including correct use of spelling, grammar and punctuation. Must be self directed, detail oriented, and able to work with minimal supervision.
$18.25 - $23.50 hourly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Part time
Position Overview: The  Child Life Assistant  functions in a support position to the Child Life staff.  This position is directed toward planning and implementing recreational and diversionary activities both in the playroom and at bedside, appropriate to the developmental and emotional needs of pediatric patients. Qualifications: Education:   Equivalent of a Bachelor's Degree, with coursework in child development, psychology or education, or equivalent work experience, is required.   Experience:   6 months to 2 years previous supervised experience working with hospitalized and healthy children is required.  Experience in activity planning preferred.   Knowledge:   Knowledge in child development, psychology, education or similar field is required.  BLS CPR certification through American Heart Association is required.   Special Skills/Equipment:    Ability to plan and implement recreational activities for individual children and groups of children.  Must be organized, with the ability to work independently.  Must have strong interpersonal skills, including effective communication with health care professionals, children and families under stress, as well as providing guidance to volunteers.
$50,000 - $60,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Under general direction, the Quality Improvement Specialist shall coordinate and provide ongoing organizational support for key quality initiatives, including the interface between SHP employees, executives, and Sutter subject matter experts. Analyze utilization performance data to evaluate the efficiency and effectiveness of clinical process and procedures. Perform quality audits of all clinical functions. Work with clinical business units to develop and implement preventive and/or corrective action plans as needed. Supports established committees by organizing and publishing detailed agendas, documenting minutes, maintain work plans, perform follow up and preparing and publishing reports. Assists with the development and revision of quality policies and procedures. Acts as a backup to the Appeals & Grievance Coordinator when needed. Qualifications: Education : AA/AS degree or equivalent combination of education and experience required. BA/BS degree or equivalent combination of education and experience desired.     Experience/Knowledge/Skills: Must have demonstrated previous experience similar to the required duties. Must have 2-5 years in a managed care or health insurance environment. Experience in coordinator and/or project management positions with exposure to PHI is essential. Must demonstrate knowledge of HIPAA, Health Care Reform, Business Code of Ethics and government regulated programs. Must demonstrate ability to work collaboratively, prioritize functions, problem solve, and anticipate upcoming issues for the executives.   Special Requirements: Excellent oral and written communication skills.  Excellent telephone skills managing escalated calls.    Abilities with Microsoft Word, Excel and PowerPoint, internet research.  Must require minimal supervision.  U nderstanding of compliance and quality programs.  Knowledge of preventive health standards for adults and pediatrics, NCQA, HEDIS, CAHPs. Experience with health plan operations.  Must be able to positively interact with clinicians, senior management, members and all levels of clinical and non-clinical professionals in the provider office, medical group, health plan and regulatory agencies.
$18.17 - $19.38 hourly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The Care Coordination Clerk supports general data entry and clerical functions within the Care Coordination Department. Qualifications: Education: High School Diploma or equivalent and courses in medical terminology required Experience & Knowledge: • Experience in a healthcare related field preferred • Experience in a Billing / Coding or medical office environment is helpful Special Skills/Equipment: • Basic computer skills • Ability to use 10-key • Ability to type 55 wpm • Ability to operate a fax machine, scanner and copy machine • Ability to use and maintain filing systems both electronic and physical • Ability to work in a confidential setting • Ability to multitask • Organizational skills • Attention to detail • Ability to work with frequent interruptions and minimal supervision • Must be able to work in a demanding, fast paced environment balancing multiple priorities and take appropriate actions in challenging situations Knowledge of the Sutter Health organization is desired
$30,000 - $40,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: POSITION SUMMARY:   The  Patient Advocate  is responsible for representing the Sutter Physicians Alliance (SPA) / Sutter Medical  Foundation Central Division (SMF) network which includes Sutter Medical Group, Sutter Neuroscience Medical Group (SNSMG), Sutter Express Care Medical Clinics (SECMC), Sutter West Medical group  (SWMG), Sutter Independent Physicians (SIP) and Sutter Medical Foundation Ancillary Services (SMFAS). Responsibilities include assisting members who inquire about clinician referrals, addressing member  grievances, and confirming accepted form of insurance. Additional functions include member disenrollments  and member reassignments in compliance with the standards of the National Committee of Quality Assurance  (NCQA) and HMO guidelines.   Principal Accountabilities Processes all formal complaints received either from a member, health plan or other source.ensuring that the  policy and procedures for SMG, SWMG, SNSMG, SECMC, SIP and SMFAS are followed and that all quality of care issues are handled confidentially and directed to the appropriate Quality Committee. Processes member discharge requests from clinicians per disenrollment/better matched policy and procedure. Maintains database of discharged members. Processes SMF incident reports per policy and procedure. Provides assistance with problem resolution by effectively listening to, and documenting member concerns/complaints, provides resolution or refers the problem to an appropriate source, and performs followup to ensure satisfactory resolution. Provides information regarding HMO and PPO/EPO (Preferred Provider Organization/Exclusive Provider  Organization), Medicare, Medi-Cal, and other health plan programs via telephone communication or written correspondence, educates members regarding the structure of their health plan, and assists patients in the  selection/changing of their Primary Care Physician (PCP). Educates members regarding how to schedule initial appointments with a PCP and how to access care. Qualifications: MINIMUM QUALIFICATION REQUIREMENTS:   Education including Licensure, Certification, Registration High School Diploma or equivalent. Some college courses in a health related curriculum is strongly  recommended.   Knowledge General knowledge of Healthcare benefit plan member disenrollment and reassignment procedures. General  knowledge of the National Committee of Quality Assurance (NCQA) as well as HMO guidelines and  standards. Healthcare industry knowledge sufficient to understand various insurance structures and how they  apply to member is required. Familiarity with medical terminology is preferred.   Experience Excellent customer service experience sufficient to communicate accurate information, diplomatically, to a  variety of customers is required. Administrative experience sufficient to independently develop professional work products. Experience communicating with clinicians and health care professionals. Experience handling  and maintaining confidential information.   Skills Excellent written and verbal communication skills. Excellent telephone etiquette and customer service skills. Ability to effectively utilize current PC applications (e.g., MS Word, Excel and Access). Ability to enter data  accurately. Ability to work in a team atmosphere. Ability to recognize and mediate member care issues (problem solve).
$33,153 - $51,923 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The Care Coordination Representative demonstrates the ability to read, comprehend, understand and interpret complex medical guidelines to determine if appropriate information has been provided in utilization reviews before transmission to external payers for review of medical necessity for Inpatient admission. The care coordination representative uses effective interpersonal skills in supporting the complex interactions involved in communicating with the Care Coordination staff, the payers, internal and external departments within the organization and other vendors. Qualifications: Education:  High School Diploma/GED required. AA/AS degree or equivalent combination of education and experience desired.  Related field or equivalent experience in health care required Related course work in business and computer skills desired Experience & Knowledge: • Working knowledge of medical terminology, ICD-9, CPT Codes, HCPCS • Knowledge of level of care including criteria required for payment and applications processes • Knowledge of the healthcare industry and available healthcare programs and resources • General knowledge of illnesses, current treatments and their physical and psychological sequelae • Ability to accurately interpret contractual and financial payer risk information • Experience within a health care setting is preferred as well as within an healthcare insurance experience • Experience in a Billing / Coding or medical office environment is helpful • Experience with reading, comprehending, and understanding complex medical guidelines is fundamental • Experience and ability to maintain federal and state regulatory requirements including NCQA, CMS/HCFA, and DMHC • Experience of data collection techniques and methods of analyzing and reporting data   Special Skills/Equipment : • PC proficiency in word processing, spreadsheets, graphics, flow charts, organizational charts, and database software required • Microsoft products preferred (i.e. Windows, Word, Excel, Power point, Access, Outlook) • Excellent interpersonal skills and time management skills, ability to work efficiently in a fast pace environment, with rapidly shifting priorities and competing demands. • Ability to work independently with minimal supervision. Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines. • Excellent oral and written communication • Ability to work in a confidential setting • Ability to multitask • Organizational and teamwork skills • Attention to detail • Ability to work with frequent interruptions and minimal supervision • Must be able to work in a demanding, fast paced environment balancing multiple priorities and take appropriate actions in challenging situations • Knowledge of the Sutter Health organization is desired 
$47,390 - $59,072 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The  Patient Services Representative  accepts patient referrals; schedules appointments and maintains data in a computerized scheduling program; preregisters the patient and creates accounts for clinical services; verifies and or obtains authorization for services; creates and maintains patient charts; and ensures that the patient account is ready for billing.   Principal Accountabilities Accepts referrals, verifies for completeness and appropriateness, communicating with referral sources to  obtain additional information as needed.  Creates and maintains patient charts. Assures that charts contain MD referral orders, past medical records,  documents required for clinical use, documents for patient signature.  May assist clinical diabetes staff by downloading patient meters.  May compile and report units of service data to Finance for productivity reports.  Obtains confidential information from patient or family member, including demographic, financial, and medical.  Pre-registers patients into the patient accounting system, verifies insurance, verifies co-payment requirements  and obtains/completes all necessary authorizations, certifications, notifications and government required  documentation. Prepares charge tickets for clinical services. In selected centers, audits every patient chart for chargeable  services and takes corrective action to ensure they are accurate and complete. Researches and clears  problems identified by patient accounting systems required to ensure complete and appropriate billing of  assigned claims. May post billing charges and collection of cash/credit receipts to patient accounts. May  translate narrative diagnosis into ICD-9 codes and enter into billing system. Schedules patients for initial and follow-up appointments and maintains data in computerized scheduling  program. Qualifications: MINIMUM QUALIFICATION REQUIREMENTS   Education/including Licensure/Certification/Registration Current Basic CPR for Infants, Children, and Adults is required in some settings. Certified Billing Coder preferred. High school graduate or equivalent required. Certification, Associate or Bachelors Degree in Business or Healthcare related field preferred.   Knowledge: Requires understanding of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state agency programs. Requires knowledge of medical and billing terminology.   Experience: Requires experience in a health care setting or insurance related field providing patient registration and/or insurance authorization as typically obtained in approximately 2 years is strongly desired. Strong customer service experience preferred.   Skills: Required to collect a variety of information in an extremely accurate manner in a fast paced environment, while maintaining patient confidentiality. Must be able to use various complex tools to register and schedule patients. Must be highly skilled in verbal and written communication. Strong computer skills required. Requires math skills. Requires customer service skills. Requires attention to detail. Must have ability to hear with or without assistive devices.
$74,000 - $104,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Leads the development of business intelligence solutions, develops data reporting frameworks for the presentation and delivery of metrics, key performance indicators (KPI), dashboards and analytics. Qualifications: Education : Bachelor's in IS or Computer Science or the equivalent education/experience required Licensures and Certifications : Epic Data Model Certification Experience : • 6-9 years of advanced experience with Epic Clarity preferred • 3-5 years of proficient experience with Epic Clarity, Epic Caboodle and SQL is required • Relevant work experience as typically acquired in 6 to 8 years is required • 6 months-2 years of healthcare experience is desired. • 3-5 years of experience working with Business Intelligence frameworks, 4GL and reporting tools is required • 3-5 years of expert experience with data visualization concepts is required • 6 mos-2 years of experience working with data mining methodologies and ad hoc reporting is required Skills and Knowledge : • Experience in using various software tools including, but not limited to, SQL Server Integration Services (SSIS), SQL Server Analysis Services (SSAS), SQL Server Reporting Services (SSRS), Crystal Reports, etc. • Familiar with developing data extracts from multiple sources, including but not limited to, Midas, CERME, Allscripts Care Management, Epic Clarity and Epic Caboodle. • Experience in working with and engaging stakeholders from various patient care areas such as, Acute Inpatient Case Management, Ambulatory Case Management, Telephonic Disease Management (TDM), and Complex Case Management (CCM). • Expert with presentations, word processing and spreadsheet applications, preferably Microsoft. • Advanced understanding of metrics, measures and KPIs. • Expert SQL skills. • Strong written, verbal and presentation skills. • Expert analytical skills. • Good organization, prioritization and time-management skills. • Strong interpersonal skills with vendors, co-workers and users. • Ability to work independently and as a team member of multiple project teams.
$57,482 - $72,671 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Provides a variety of training services for employees at Sutter Health by assisting in the education process for technical application systems.Primary purpose is to support lead technology training specialist, end-user training; virtual training classroom coach, effectively engaging the students with professionalism, translating the content/workflows relevant to their roles.Assists in coordinating and instructing classes for all health professional roles and business operations. In addition, prepares presentations, participates in workflow analysis as relates to training, and may conduct special training courses relating to the technical services. Qualifications: EDUCATION: Associate's Degree required. Bachelor’s Degree in IT, Healthcare, Education preferred.   LICENSURE AND CERTIFICATION:   EPIC Certification – EPIC preferred.   EXPERIENCE:   Experience in a self-directed, customer-facing position, presenting, training, and writing typically acquired in 1 to 3 years required. Experience in adult education required. Clinical background preferred. Experience in healthcare workflows preferred.   SKILLS AND KNOWLEDGE:   Conceptual, analytical, negotiation, and problem solving skills. Exceptional communications skills, both oral and written. Strong oral presentation and written communication skills. Articulate technical details in a concise manner easily understood by all audiences. Effective presentation skills and excellent training ability. Act as a change agent/champion: ability to gain cooperation and support through explanation of mission and its benefits to users, diffuse tense situations and manage fear of change. Understanding of adult learning concepts. Strong customer service focus in all decisions and actions. Detail-oriented, self-directed and able to work well, proactively prepare, and deliver results with minimal supervision. Proficient in Microsoft Office Suite. Participate in multiple projects at the same time and deliver quality service. Good organization skills and ability to prioritize multiple projects and objectives in a rapidly changing environment. Work independently and as part of a team. Serve as a leader of change, effectively engage learners, and control the classroom environment. Committed to providing exceptional customer service and responding to user needs in a prompt, courteous manner. Maintain a high energy level and be willing to embrace new theory and practical application. Possess creativity and present a positive, proactive approach to all assigned activities.
$60,278 - $85,255 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Develops and leads integrated solutions for application related technical and business issues. Provides strategic direction on projects and problems. Leads matrixed teams/projects with substantial resource requirements, risk and/or complexity. Performs critical and highly complex system analysis, design, development, documentation, and configuration. Provides standardization direction for the product aligning the application version and workflow with current standards. Qualifications: Education: BA/BS degree or equivalent combination of education and experience required. MA/MS degree desired.   In-depth experience of healthcare related applications as typically acquired in 9+ years. Demonstrated technical and business experience. Demonstrated increasingly responsible professional growth. Experience in consulting with vendors, clients and management. Strong problem and issue resolution experience. Expert at specifying user requirements. In-depth knowledge of industry standards to support business requirements. Knowledge of health care operations and structure, general requirements in an integrated delivery system, and use of information system applications in the practicing health care environment. In-depth knowledge of life cycle of application environments. Mastery of assigned application(s) and broad understanding of integrated systems. Thorough understanding of hospital inpatient, clinic outpatient operations, and/or financial software along with understanding the technical environment of product lines for which they are responsible. Leadership skills. Ability to be involved in multiple projects at the same time. Excellent organization skills; ability to prioritize multiple activities and objectives in a rapidly changing environment, and deliver quality service. Work closely with health care application users, vendors, and technical professionals. Committed to providing exceptional customer service and responding to user needs in a prompt, courteous manner. Project management skills. Strong analytical and critical thinking skills. Exceptional written, verbal and presentation skills with the ability to communicate complex technical issues in terms clearly understood by technical and non-technical audiences. Strong skills in word processing, spreadsheet and presentation computer programs, preferably Microsoft. Able to influence others without direct lines of authority. Strong collaboration and consulting skills. Self motivated, self-directed and independent thinking as well as an effective team player. Ability to take the most highly complex problems, requirements, or strategies; research solutions and take from concept to implementation for desired outcomes.
$51,799 - $95,226 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The  Senior Business Intelligence Analyst (SBIA)  provides strategic and operational support to Sutter Medical Foundation (SMF) and Sutter Health Affiliates on issues related to information reporting systems. TheSBIA is responsible for  data mining, business intelligence (BI), and web development to generate reporting applications solutions  to finance, provider compensation, provider trend, care center operations, enterprise level statistical measures, quality initiatives and medical group human resource tracking  and SMF operations.  The SBIA integrates data from complex and diverse database platforms including Finance (Lawson), Patient Financial Services and Managed Care Systems (IDX, MS4), Electronic Medical Record applications (EPIC), pharmacy, Human Resources (Lawson, Kronos).  The SBIA develops business intelligence solutions to help business users and SMF management effectively utilize information by creating customized dynamic and interactive reports and analytics. The SBIA will also be responsible for translating business requirements into queries, models and BI applications to allow for insightful end-user data analytics and forecastin g.  Qualifications: MINIMUM POSITION REQUIREMENTS: Education: BA/BS Degree in Statistics, Applied Statistics, Econometrics, Economics, Finance, Business, Management Information Systems, or Computer Science or related field is required.  A master’s degree or PHD in any of the above fields of study is preferred. Experience: 5 or more years of working developing Business Intelligence solutions in an analytical business environment  5 or more years of Business Intelligence reporting using BI applications (Crystal Reports, Reporting Services, Business Objects, SAS etc.) is required Familiar with financial modeling techniques, dashboard measurement development, and other financial performance measures Experience with Data Mining or Statistical Modelingis preferred Experience working in a healthcare environment is preferred. 5 or more yearsof experience developing queries for database applications (Access, DB2, MS SQL, Oracle etc) is required. The ability to manipulate, organize and validate data is expected. 3+ years experience building OLAP/MOLAP Data Cubes is required Extensive experience with data extraction, and validation, experience with transactional systems. Intermediate knowledge of SQL Server 2000/2005, SQL, DTS, SSIS, reporting solutions Past project experience with integration technologies (e.g. ETL), data migration, and packaged applications. Knowledge: Ability to develop and implement complex Business Intelligence solutions. Including but not limited to dynamic and interactive web based solutions that connect to both relational and multidimensional data sources Work with business and technical stakeholders to understand and document the business and technical use of data and data assets. Work with Decision Support staff in the development and maintenance of the standardized enterprise integration architecture. Knowledge of financial, statistical, and other analytical modeling techniques Ability to analyze/profile data for migration support through mappings, supporting developers, creating business usable test scripts and supporting data verification tests using SQL and other data profiling tool. Thorough understanding T-SQL, developing tables, views, stored procedures, triggers and constraints in a MS SQL Server setting. Develop, maintain, and ensure consistency amongst several database systems and may assist in the development and implementation of reporting systems, data models, and the data warehouse. Identify and analyze data conflicts between legacy systems and reconcile conflicting or ambiguous information. Elicit and document data definition and user requirements. Quantitatively analyze data errors/issues/problems, determine cause and initiate corrective action when necessary. Special Skills: Strong analytical and problem solving skills. Ability to scope project timelines, initiate actions plans, and monitor project deliverables Ability to maintain a high level of energy and creativity while working independently or as part of a team. Ability to be flexible in responding to rapid change. Strong written and verbal communication skills. Communicate complex technical issues in terms clearly understood by IT and non-IT practitioners. Ability to multi-task and prioritize as necessary to complete projects. Ability to enlist cooperation while solving complex problems in environment that may be resistant to change and not under incumbent’s direct authority. Solid customer support and service skills. Ability to understand user and technical application documentation. Comprehensive understanding of IDX data extremely beneficial. Attention to detail is a must.
$90,311 - $100,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The Information Systems (IS) Internal Auditor is responsible for assisting in advancing the mission of the Internal Audit & Process Improvement Department in a manner consistent with the values and standards of the Department and the internal audit profession. The IS Internal Auditor is responsible for familiarizing themselves with the annual work plan, researching relevant topics to carry out assigned project areas and fostering important strategic relationships with other Sutter Health System Office functions. The IS Internal Auditor will have primary responsibility for executing a variety of independent assurance and consulting services covering IS risk and IS related operational and reporting processes of Sutter Health and its Affiliates’ financial, clinical, and other support service functions as well as participate in the risk assessment process. Execution of these projects consists of carrying out the assigned project tasks, and complying with project budgets and timelines, collaborations with engagement team members, assisting with writing reports, ensuring quality of project deliverables, and effective communication with the project lead. The IS Internal Auditor will also participate in improving the efficient and effective delivery of the Department’s assurance and consulting services including promoting the Internal Audit & Process Improvement brand, complying with Department and professional standards, participating in Department initiatives and internal process improvement projects, and providing input into the enhancement of audit methodologies, work flows and tools. The preferred candidate will posses a technical background, a desire to improve existing processes, have an innate understanding of leadership principles and their application, internalize the Department’s vision, and take a client focused approach on every engagement. Qualifications: Education/Certification/Licensure: A Bachelor’s degree in Information Technology / Systems, Management Information Systems, Computer Science / Electrical Engineering, Information Security/Assurance, or a related field such as Accounting Information Systems or Accounting when combined with relevant professional work experience is required. A Master’s degree in these subjects is desired. Relevant professional certifications for information systems/technology or security such as Certified Information Systems Auditor (“CISA”), Certified in Risk and Information Systems Control (“CRISC”), or HealthCare Information Security and Privacy Practitioner (“HCISPP”) is highly desired.   Experience/Knowledge/Skills: Two to four years of progressive IS / IT auditing and/or consulting experience is required with some internal audit or public accounting experience preferred. Healthcare experience gained through roles in internal or external auditing, and/or healthcare information technology administration or operations strongly desired. In addition, the IS Auditor must have an understanding of / experience with: • The governance and management of information systems as well as their acquisition, development, implementation, operation, administration, security, maintenance and support as well as applicable frameworks over this such as Control Objectives for Information and Related Technology (COBIT) or Information Technology Instrastructure Library (ITIL). • Assessing IS risk, including the risk inherent in various systems, the risk in IS department processes, and the risk introduced to financial, operational and compliance processes by the use of information systems.Information Technology General Controls / General Computer Controls as well as Application Controls and • Theory, methodologies, and processes for auditing information systems, as would be applied to integrated audits as well as audits of an IS department, including computerized auditing techniques. The IS Internal Auditor must display a high degree of professionalism and leadership and possess proficient organizational, analytical and project management skills. Must have excellent written, verbal, and interpersonal and presentation skills.   Physical Requirements: Travel may be required depending on the project or data location (20%-30% annually). Must have reliable transportation and available for unplanned travel. Flexibility in working hours may be necessary. Significant amounts of sitting; use of both hands (for grasping, file handling, telephone use, word processing); hearing, speech, vision; and driving capabilities are all needed physical abilities.  
$82,748 - $100,597 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: At the direction of the Office of the CIO Manager/Leader, this position will establish and maintain a consultative partnership within Information Services providing operational functional knowledge supporting the development of new/improved capabilities; translating business requirements to functional requirements, and identifying, defining and developing solutions to application and system problems. This position is responsible for requirements gathering and analysis including identifying business needs, evaluating potential enhancements, developing and documenting technical solutions to business problems. They work closely with Enterprise Architecture Planning, business relationship managers, and subject matter experts to capture the appropriate information to ensure a thorough documentation of requirements supporting all phases of a service life-cycle from Idea/concept through implementation and support. Possesses a considerable to extensive understanding of Enterprise Architecture, business operation and functional area in order to appropriately evaluate and analyze business work flow and appropriately identify and scope Enterprise Architecture requirements. The business analyst has strong analytic and collaboration skills to act as a liaison between Enterprise Architecture, business relationship managers, and the technical teams who build the solutions. Qualifications:   Education Bachelor's BS/BA degree required Or equivalent education/experience Master's MA/MS degree preferred     Licensures and Certifications BA Certification upon hire preferred     Experience/Skills Relevant work experience as typically acquired in 6 to 8 years required Healthcare experience highly desired preferred Deep expertise of presentations, word processing and spreadsheet applications, preferably Microsoft required In-depth working experience business analyst standard tools including but not limited to CSI, Lean methodologies, work flow tools, Microsoft Visio, Business Relationship Management and Project Methodology and tools required required Facilitate meetings and lead group discussions for complex projects required Experience making independent decisions required Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts. required Advanced presentation skills required Excellent organization, prioritization and time-management skills required Expert analytical skills required Strong interpersonal skills with vendors, co-workers and users required Ability to work independently and with team members on multiple project teams required Multi-task and provide contributions to all levels of the organization required
$70,000 - $110,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The Quality and Patient Safety Analyst II (QSA II) supports the Quality and Safety Department to improve quality and patient safety.The QSA II is responsible for implementing established processes for the measurement, analysis, and reporting of data. This individual will work with team members, end-users, and others to refine requirements, re-design, and deploy high-quality, accessible reports. The QSA II is responsible for collecting, extracting and aggregating information from various Sutter Health system, hospital and/or ambulatory quality and financial data repositories and for performing analysis to provide meaningful information to clinical stakeholders. The QSA II will maintain an existing report portfolio making modifications as requested. The QSA II is responsible for the distribution of defined monthly, quarterly, annual and/or ad hoc reports/scorecards, meeting deadlines consistently. The QSA II provides database application management and technical support to systems. The QSA II troubleshoots intermediate issues with these applications, seeking resolution using knowledge of the system or facilitating a solution with other Sutter teams. The QSA II conducts quality control checks and assures data quality and consistency. As applicable, the QSA II also supports the accurate and timely submission of data to the Office of Patient Experience and also to external benchmarking organizations (e.g., CMS, CALNOC, NHSN, etc.). Qualifications: Education: Bachelor’s degree in informatics, a health science-related field or other related fields, or equivalent education/experience required. Licensures and Certifications: IS System Certification, 3 to 5 years in SQL, EPIC Clarity, other related preferred. Experience: 3 years in IS database management, programming and/or query development– required. 2 - 3 years working in a healthcare setting– preferred. Skills and Knowledge: Knowledge of database architecture and management and data extraction methods required. In-depth experience with various reporting applications as well as the EHR. Experience with Midas, Statit PPR, Statit PiMD, Tableau, Crystal Report Writer and/or Allscripts or other comparable applications. Basic to intermediate knowledge of SQL Intermediate experience with presentations, word processing and spreadsheet applications with an advanced knowledge of Microsoft Office Suite required.Must be advanced in MS Excel. Intermediate analytical skills with the ability to collect, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Experience with statistical methodology is preferred. Knowledge of health care operations, and health care (ICD 10, CPT and/or DRG) coding with a focus on quality management and care coordination services in acute and non-acute outpatient settings. Includes structure, department-specific policies and procedures and workflows. Requires excellent teamwork, organizational and communication skills. Ability to be involved in, and prioritize multiple projects at the same time in a rapidly changing environment is a must. Experience with programming is desirable. Must have the ability to interact with all levels of employees and medical staff as well as interface directly with external agencies and organizations. Must have the ability to organize, interpret and present data effectively; creatively and effectively problem-solve, good decision-making skills. Excellent leadership, communication, and teaching/training skills.
$80,000 - $90,000 yearly
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: The Senior Data Analyst will work closely with management and staff to evaluate the needs for data and reporting from an enterprise data warehouse, while working with management to design and develop data models, ETL strategies, and corporate metadata. The Senior Data Analyst should understand business processes, data entities, data producers, consumers, and the data dependencies between various departments and foundations. The Senior Data Analyst will be responsible for gathering and translating business requirements into queries, models and tools to allow for insightful data analysis and forecasting back to the business. Qualifications: Education : A BS degree in Management Information Systems, Computer Science or other related field is required. Equivalent combination of education, training, application software support, installation projects and experience in a healthcare related field may be considered. Experience : • 4+ years or more of experience of query scripting, data analysis and modeling required. • 4+ years or more of reporting (Crystal Reports, Reporting Services, or Business Objects) and/or business intelligence experience required. • Strong knowledge of SQL Server 2000/2005, SQL, DTS, SSIS, reporting solutions, MS-Access, and Excel required. • Experience working in OLAP, Data Warehouse, and ETL environments required. • Knowledge of managed care/health insurance processes highly desired required. Skills and Knowledge: • Thorough understanding T-SQL, developing tables, views, stored procedures, triggers and constraints in a MS SQL Server setting. • Develop, maintain, and ensure consistency amongst several database systems and may assist in the development and implementation of reporting systems, data models, and the data warehouse. • Work with business and technical stakeholders to understand and document the business and technical use of data and data assets. • Identify and analyze data conflicts between legacy systems and reconcile conflicting or ambiguous information. • Work with statistical analysts to mine data for analytical purposes. • Tune SQL queries and database performance. • Work with Decision Support Analysts in the development and maintenance of the standardized enterprise integration architecture. • Manage and lead complex and time sensitive projects. • Strong analytical and problem solving skills. • Ability to maintain a high level of energy and creativity while working independently or as part of a team. • Ability to be flexible in responding to rapid change. • Strong written and verbal communication skills. • Communicate complex technical issues in terms clearly understood by IT and non-IT practitioners. • Ability to multi-task and prioritize as necessary to complete projects. • Ability to enlist cooperation while solving complex problems in environment that may be resistant to change and not under incumbent’s direct authority. • Solid customer support and service skills. • Ability to understand user and technical application documentation. • Comprehensive understanding of IDX data extremely beneficial. • Mentor other Data Analysts. • Attention to detail is a must  
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Patient Services Coordinator - Cardiac Device Job ID  SMF-C-1921081 Date Posted  10/17/2019 Location  Sacramento ,  California Schedule/Shift  Full Time / Day Position Overview: Determines and revises clinician and patient scheduling, and works under the direction of clinicians to schedule and coordinate inpatient and outpatient procedures. This position counsels patients regarding pre-operative and postoperative instructions and tests, ensuring all necessary steps have been completed prior to scheduled procedures. Verifies insurance coverage and obtains the necessary referrals/authorizations for all services rendered. Works with clinicians to accurately and compliantly code and post the clinicians' charges and co-payments using the Front Desk Check-In/Check-Out process. Has the ability to cover any non-clinical position within the Care Center.   Principal Accountabilities General office and miscellaneous responsibilities required to ensure a smooth flow of work and effective patient and clinician service. Performs Front Desk Check-in process, including posting co-payments and all other payments to patient account, using the computerized business system. This may include working the Rejection Report, Missing Charge Report, cash handling according to SMF Cash Handling policy and knowledge of CPT, HCPCS and ICD-9 codes as they pertain to billing. Performs patient registration and referral activities utilizing the computerized business system. Includes on-line referrals, third party contacts, tracking referrals, communicating with patients and facilitating service. Sends all medical records and pertinent data to provider of service. Performs scheduling activities utilizing the computerized business system and coordinates associated communication activities. This includes printing schedules, arriving/no-showing patient visits, printing encounter forms, printing and rescheduling patients as needed. Properly completes appropriate Care Center forms such as Advance Beneficiary Notice (ABN), Financial Waivers, Advanced Directives/Durable Power of Attorney forms. Qualifications: MINIMUM QUALIFICATION REQUIREMENTS   Education: High school diploma or equivalent.   Knowledge: Sufficient current knowledge of HMO/PPO insurance programs to correctly assess the need for prior authorization for procedures/referrals and to interpret patient financial information. Sufficient current knowledge of medical billing procedures, including CPT, ICD-9 and HCPCS codes, and medical terminology to accurately enter charge and copayment data into billing programs to support accurate billing or patients' various medical insurance carriers and ensure appropriate reimbursement in compliance with applicable regulations. Knowledge of physician office scheduling procedures sufficient to create and manage efficient schedules for multiple physicians, as would be typically obtained in a year of similar experience. Administrative knowledge of surgical and medical procedures. Knowledge of medical terminology sufficient to identify, interpret and explain medical procedures to patients, third party payors and medical facility personnel.   Experience: Medical office experience sufficient to perform in all duties and aspects of the Care Center front office, including computerized scheduling and billing, complex coding, and specific and general office duties, as can be obtained with 2-3 years of experience in a medical office. Specialty medical office experience preferred.   Skills: Proven skill in analyzing situations and making timely decisions in areas of accountability. Typing speed and accuracy at 45 CWPM, allowing for the accurate computer entry of the needed volume of data, and to query accounts while patients are on the phone. Excellent telephone and customer service skills. Organization:  Sutter Medical Foundation - Central Employee Status:  Regular Employee Referral Bonus:  No Benefits:  Yes Position Status:  Non-Exempt Union:  No Job Shift:  Day Shift Hours:  8 Hour Shift Days of the Week Scheduled:  Monday-Friday Weekend Requirements:  None Schedule:  Full Time Hrs Per 2wk Pay Period:  80 Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.       Craig Hannon
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
Position Overview: Principal Accountabilities Obtains confidential information from patient or family member, including demographic, financial, and medical. Pre-registers patients into the patient accounting system, verifies insurance, verifies co-payment requirements and obtains/completes all necessary authorizations, certifications, notifications and government required documentation. In selected centers, audits patient records for chargeable services and takes corrective action to ensure they are accurate and complete. Researches and clears problems identified by patient accounting systems required to ensure complete and appropriate billing of assigned claims. May translate narrative diagnosis into ICD-10 codes and enter into billing system. Schedules patients for initial and follow-up appointments and maintains data in computerized scheduling program. Accepts referrals, verifies for completeness and appropriateness, communicating with referral sources to obtain additional information as needed. Assures that electronic health record contains MD referral orders, past medical records, documents required for clinical use, documents for patient signature. May compile and report units of service data for productivity and/or quality reporting. May assist with rooming of patients and room preparation. May assist clinical diabetes staff by downloading patient meters. Qualifications: Education: High School Diploma required Associate's or Bachelors Degree preferred Experience: At least 2 years experience required in health care insurance authorization and referrals. Experience also providing patient registration services highly desired. Strong customer service experience preferred.  Licensures and Certifications: Basic Life Support (BLS) preferred CPR for Infants, Children and Adults in some settings preferred Certified Coding Specialist (CCS) preferred Skills and Knowledge: Requires understanding of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state agency programs. Requires knowledge of medical and billing terminology. Required to collect a variety of information in an extremely accurate manner in a fast paced environment, while maintaining patient confidentiality. Must be able to use various complex tools to register and schedule patients. Must be highly skilled in verbal and written communication. Strong computer skills required. Requires math skills. Requires customer service skills. Requires attention to detail. Must have ability to hear with or without assistive devices. Organization:  Sutter Medical Center, Sacramento Employee Status:  Regular Benefits:  Yes Position Status:  Non-Exempt Union:  No Job Shift:  Day Shift Hours:  8 Hour Shift Days of the Week Scheduled:  Monday-Friday Weekend Requirements:  None Schedule:  Full Time Hrs Per 2wk Pay Period:  80 Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.     Craig Hannon
Sutter Health Sacramento, CA, USA
Jan 07, 2020
Full time
  APPLY LATER Enrollment Coordinator Job ID  SSC-1923369 Date Posted  11/15/2019 Location  Sacramento ,  California Schedule/Shift  Full Time / Day Position Overview: This position acts as a community resource and primary point of contact for individuals interested in participating in the Sutter Senior Care (SSC) PACE Program and provides support throughout the process of enrollment. The Enrollment Coordinator responds to inquires from referral sources and potential participants and provides initial telephone screening to identify candidates for the clinical team to assess. This position provides coordination and assistance to participants and the clinical assessment team throughout the process of obtaining initial certification of eligibility for appropriate PACE participants from the Office of Long Term Care (DHCS). This position requires an above-average ability to provide excellent customer service both to internal and external customers. Qualifications: Education:  High School diploma or equivalent required.  Bachelor's degree desired.   Experience/Knowledge/Skills: A minimum of 2 years experience of working in a medical field or with a geriatric population. Experience working in community relations, sales or marketing in the healthcare field is preferred Experience specific to seniors groups  and senior support organizations is preferred. Excellent customer service to internal and external customers is require Call center experience preferred Knowledge of healthcare and outreach/marketing in healthcare preferred Knowledge of PACE enrollment/certification requirements is preferred. Knowledge of current senior specific health-related problems and knowledge of programs and other resources for seniors, especially frail seniors, is required. Must have excellent interpersonal skills and be able to successfully manage multidisciplinary clinical team processes. Must have excellent telephonic communication skills Must be able to take initiative. Must be able to develop and maintain effective working relationships with internal and external customers, including leadership, employees, participants and their families, and other community organizations. Must have the ability to quickly and easily establish rapport with seniors and their caregivers. Proficiency in Microsoft Excel, Word and general computer knowledge required. Access database experience preferred. Flexible, able to respond to rapidly changing situations and needs of potential enrollees Organization:  Sutter Senior Care Employee Status:  Regular Employee Referral Bonus:  No Benefits:  Yes Position Status:  Non-Exempt Union:  No Job Shift:  Day Shift Hours:  8 Hour Shift Days of the Week Scheduled:  Monday-Friday Weekend Requirements:  None Schedule:  Full Time Hrs Per 2wk Pay Period:  80 Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.   Craig Hannon