Rady Children's Hospital-San Diego Jobs (6)

JOB SUMMARY : This position is accountable for a defined patient population under the supervision of a licensed physician. Functions dependently in a staff position, implementing the role of expert practitioner, consultant, educator, and researcher within a specialized area of patient care. Performs within the scope of licensures and in accordance with hospital policies. Some positions will be responsible for being on call according to a predetermined schedule or as needed, pursuant to hospital needs. MINIMUM QUALIFICATIONS : Current California Physician Assistant license Completion of a Physician Assistant Program Current BLS for Healthcare Providers, issued by AHA Furnishing number, State of California (w / in 1 year of employment) DEA license for positions that require the writing of scheduled medications (within one year of employment) Medicare Billing number (NPI- National Provider Identifier) Must obtain within 6 months of employment Certification : Physician Assistant, National Commission (w / in 1 year of employment) Successfully complete the credentialing process through Medical Staff Services Successfully completes the requirements of the delegations of Services for the assigned division PREFERRED QUALIFICATIONS : Bachelors or Master Degree of Science Two years of experience in clinical nursing with emphasis in specialty area Experience in specialty area as a Physician Assistant Formal in-service education and / or lecturing skills Bilingual Skills desired The expected hiring range for this position is $64.36 to $96.55 Children’s Specialists of San Diego is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!

JOB SUMMARY : This position is responsible for administering the Collection Philosophy of Rady Children's Hospital San Diego for all self-pay accounts. The Customer Service Specialist I will identify accounts with a self-pay balance after insurance has paid and those without insurance and will collect on those accounts. The incumbent will assist the families with financial assistance applications. The incumbent will work with families to establish payment plans in accordance with hospital policy and monitor the payment plans for compliance. The Customer Service Specialist I will receive incoming telephone calls and assist families with information pertaining to their accounts, understanding statements, and previous insurance payments. Incumbent will check Medi-Cal eligibility, apply share of costs, and update accounts with insurance information. The Customer Service Specialists will receive patient complaints in regards to billing and take appropriate action, based upon policy and procedures. MINIMUM QUALIFICATIONS : High School Diploma, GED or equivalent 2 years of experience PREFFERED QUALIFICATIONS : Associate's Degree 3 years of experience Bilingual English / Spanish The expected hiring range for this position is $20.00 to $27.50 Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!

JOB SUMMARY : Case Managers function as liaisons between patients, their families and internal and external health care personnel to ensure appropriate, efficient and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays, coordinating discharge needs and providing information to the Quality department for their follow-up. The Case Manager advocates for the patient and family and collaborates with the health care team to facilitate appropriate movement along the continuum of care from inpatient admission to discharge. MINIMUM QUALIFICATIONS : Bachelor's Degree in Nursing Current California RN license Three years of experience One year of pediatric experience Competent in utilization of computers, various computer programs Competent keyboarding skills PREFERRED QUALIFICATIONS : Four years of experience Utilization review, case management, discharge planning experience Bilingual English / Spanish The current salary range for this position is $49.94 to $85.94. A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement. Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector. Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!

JOB SUMMARY : Management Decision Support Analyst This is not an IT position, strong Excel, Math and Finance experience required. Applies a thorough, advanced level knowledge of clinical and financial analysis and knowledge of systems technology to identify and design solutions within the decision support, research and / or quality systems. Requires an understanding of database functionality and reporting tools, the ability to creatively apply these concepts to a complex and changing environment and the ability to articulate underlying system processes and their affect on data and reports. Responsible for the development of Service Line analyses and the monitoring of Service Line trends. Serves as a resource to department managers and facilitates their use of corporate data. Works across departments to provide supportive information for various initiatives including productivity, business planning, volume trend analysis, case mix index, reimbursement and costing. Manages the integration and comparison of internal data with various benchmarks (e.g., NACHRI, OSHPD, Thomson Reuters, and PHIS). MINIMUM QUALIFICATIONS : Bachelor's Degree 3 years of experience Ability to prepare complex written and graphic reports that explain and interpret data trends Ability to develop a query and return accurate data files to serve as the foundation of the analysis Basic hospital financial reporting and experience with both financial and clinical analyses in a healthcare setting Ability to perform complex analysis using modeling, forecasting and statistical analysis methodologies Knowledge of healthcare terminology, coding practices, and KPI definitions Ability to work effectively in a multi-faceted, time-critical work environment Ability to manage and manipulate files maintaining content integrity Ability to work with decision-makers to define the parameters of an analysis data set Knowledge of effective organizational and management principles Knowledge of Service Line management and accountability practices PREFERRED QUALIFICATIONS : Master's Degree 5 years of experience The expected hiring range for this position is $35.84 to $49.28. Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!

JOB SUMMARY : Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent is responsible for reviewing provider charges to ensure accuracy, reduce claim errors & denials while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing professional surgical coding performed by departmental Professional Services Coders to ensure accuracy. The incumbent will be responsible for identifying trends of incorrect coding & compiling examples. They will develop training guidelines & presentations of coding recommendations based on these identified trends & will meet with physician providers to train & educate. The incumbent will research CCI Edits, coding & payer websites to provide up-to-date information to coding & billing staff, as well as providers. The incumbent will monitor, track & report error & denial trends to Revenue Cycle Leadership. The incumbent will recommend coding changes based on audit & research. The incumbent will assist departments with resolution of claim errors stemming from coding errors. Responsible for processing patient complaintss related to a patient account / invoice. Responsible for establishing & maintaining accurate development of procedural coding for clinical services following Federal & State guidelines. Coordinate & delegate workflows of surgical coding staff. Serve as a resource & mentor to the Departmental Certified Coders & billing staff, assisting them with education & coding questions as they arise. Must be knowledgeable in ICD, CPT & HCPCS coding. Must understand & apply all regulations / laws / and standards applicable to coding to ensure appropriate & compliant billing. MINIMUM QUALIFICATIONS : H.S. Diploma,GED,or Equivalent 2 Years of Experience Certified Professional Coder Knowledge of coding methodology, abstract coding from medical / chart notes and operative reports. PREFERRED QUALIFICATIONS : Associate's Degree 3 Years of Experience The expected hiring range for this position is $25.47 to $35.03 Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!

JOB SUMMARY : Under the direct supervision of the RN Supervisor, this position is responsible for all real time charting for the physicians. The Scribe works to facilitate patient flow through ambulatory clinics and ensure an accurate and complete medical record for each patient. The Scribe assists the medical provider by accompanying them during the medical history-taking and exam, recording patient's histories and chief complaints, transcribing physical exams and recording plans for follow up care. MINIMUM QUALIFICATIONS : HS Diploma, GED, or Equivalent Working knowledge of medical terminology and accepted abbreviations Ability to think analytically Medical billing experience PREFERRED QUALIFICATIONS : Associate’s Degree 1 year of experience (experience may be substituted with appropriate educational background) CIMCAT and / or completion of ScribeAmerica Advanced Scribe Training Program Previous Medical Office / Records Experience Medical Terminology Ability to type 60 plus words per minute Computer proficiency and ability to quickly learn new systems and applications Professional demeanor and recognition of privacy considerations for patients and families The expected hiring range for this position is $20.00 to $30.00 Benefits include : Medical, dental, vision, life insurance and even pet insurance A Retirement plan with company matching A Wellness program Tuition Assistance Employee Recognition Awards & Team Rady (an annual event honoring all employees) Discounts on events and attractions around San Diego Many other opportunities to give back and have fun!