Inpatient Coding Team Lead Job at Baptist Health (Florida) (Jacksonville)

Lead Intensivist Physician

We have a full-time BC/BE Lead Intensivist position available to join our well-e...

Location

United States , Springfield

Salary:

Not provided

Adfinitas Health

Expiration Date

Until further notice

Requirements

BE/BC in Critical Care Medicine
Strong inpatient skill set
Quality-focused team player
Experience working with advanced practice providers
Excellent organizational, time management and problem-solving skills
Ability to function effectively as part of a multi-disciplinary team
Effective oral and written communication skills
Commitment to providing exceptional patient care
Active state license, American Heart Association CPR Certification, DEA License, state Controlled Substance Registration

Job Responsibility

Manage Critical Care patients in a busy ICU
Create, direct, coordinate, and supervise the patient care plans daily
Conduct/order diagnostic tests, and analyze results and prescribe indicated treatments and therapies
Refer patients to medical specialists, social services or other professionals as appropriate
Work as part of an integrated team with care management, nursing, pharmacy, etc.
Assist in patient education and goal setting
Participate and adhere to all quality metrics and goals as established and directed by Adfinitas or the client/hospital
Partner with and oversee Advanced Practice Providers
Submit accurate and timely charges for all professional services performed
Lead Advanced Cardiac Life Support (ACLS) codes and Rapid Response Team evaluations

What we offer

Competitive salary and bonus package
Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance
Leadership and training programs available
Malpractice insurance with tail, 100% company paid
Cross-training opportunities
Incentives for improved productivity and quality care
Manageable caseloads
Flexibility in scheduling
Recognition of service outside of work

Fulltime

Manager, Utilization Review

Manager, Utilization Review for Care Management, remote in the United States. Pe...

Location

United States

Salary:

95000.00 - 105000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Current, unrestricted RN license in the United States or U.S. territory (compact license acceptable where applicable)
Graduate of an accredited nursing program (ADN or diploma required
BSN preferred)
Knowledgeable of the Federal, State, DMHC, CMS and ERISA regulations
1-2 years in care management, utilization management, discharge planning, or related clinical coordination
Minimum 1 year of compliance related experience preferred
Certification in Case Management or Utilization Review preferred but not required
1+ year of informal leadership (preceptor/mentor/lead) or some direct people leadership
Working understanding of HIPAA, member rights, scope of practice, and documentation requirements
Comfort following policies and escalating risk/safety concerns appropriately

Job Responsibility

Supervise day-to-day operations of assigned Utilization Management staff, including scheduling, workload distribution, and adherence to established workflows
Provide full people management for assigned Utilization Management teams, including hiring, performance management, and staff development
Provide routine coaching, feedback, auditing, support and disciplinary action to ensure productivity, quality, and timeliness standards are met
Participate in hiring, onboarding, and training of Utilization Management staff
Monitor documentation for completeness, accuracy, timeliness and compliance with company policies and regulatory requirements
Escalate clinical, operational, and performance issues appropriately to leadership
Reinforce policies, procedures, and clinical guidelines through regular communication and staff education
Support audit readiness by ensuring staff compliance with documentation and timeliness standards
Maintain HIPAA compliance, confidentiality, and minimum necessary access at all times
Solid knowledge and understanding of medical necessity criteria across inpatient, outpatient, concurrent, and retrospective reviews, with the ability to coach staff on clinical rationale, documentation quality and timeliness

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets

Fulltime

Intensivist Physician

Location

United States , Springfield

Salary:

Not provided

Adfinitas Health

Expiration Date

Until further notice

Requirements

BE/BC in Critical Care Medicine
Strong inpatient skill set
Quality-focused team player
Experience working with advanced practice providers
Excellent organizational, time management and problem-solving skills
Ability to function effectively as part of a multi-disciplinary team
Effective oral and written communication skills
Commitment to providing exceptional patient care
Active state license, American Heart Association CPR Certification, DEA License, state Controlled Substance Registration

Job Responsibility

Manage Critical Care patients in a busy ICU
Create, direct, coordinate, and supervise the patient care plans daily
Conduct/order diagnostic tests, and analyze results and prescribe indicated treatments and therapies
Refer patients to medical specialists, social services or other professionals as appropriate
Work as part of an integrated team with care management, nursing, pharmacy, etc.
Assist in patient education and goal setting
Participate and adhere to all quality metrics and goals as established and directed by Adfinitas or the client/hospital
Partner with and oversee Advanced Practice Providers
Submit accurate and timely charges for all professional services performed
Lead Advanced Cardiac Life Support (ACLS) codes and Rapid Response Team evaluations

What we offer

Competitive salary and bonus package
Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance
Leadership and training programs available
Malpractice insurance with tail, 100% company paid
Cross-training opportunities
Incentives for improved productivity and quality care
Manageable caseloads
Flexibility in scheduling
Recognition of service outside of work

Fulltime

Senior Application Administrator - Inpatient Pharmacist

This position is responsible for supporting the pharmacy application for Memoria...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Graduate of an Accredited College of Pharmacy
Pharmacist License (PS LICENSE) - State of Florida (FL)
Minimum five (5) years of relevant experience
Critical thinking skills
Decisive judgment
Ability to work with minimal supervision
Ability to work in a stressful environment and take appropriate action

Job Responsibility

Supports the pharmacy application for Memorial Healthcare System, ensuring functionality and configuration to support organizational needs
Provides day-to-day management of the pharmacy application, responsible for end-to-end application and systems configuration including the designing, building, testing, debugging and installation
Serves a mentor and project lead for junior clinical applications administrators and/or analysts
Maintains and deploys understanding of system development and project management methodologies in assessment, planning, design, workflow analysis, timelines, and testing, during implementation, optimization and ongoing operations
Builds and maintains medication related records in systems
Collaborates with other applications team members, vendors, department staff to provide technical and clinical support
Provides problem solving, troubleshooting, and code debugging intermediate issues at the technical and application levels, identifying root-cause and recommends changes
Analyzes clinical processes and data to identify opportunities and improve existing processes using information technology
Oversees application related server, support, troubleshooting and maintenance including custom functionality in order to meet end user specifications that are aligned with strategic goals
Provides decision support related to medication

Parttime

Product Manager – Ambulatory Clinical AI

Carex is partnering with an AI Healthtech partner to hire a Product Manager – Am...

Location

United States , San Francisco

Salary:

Not provided

Carex Consulting Group

Expiration Date

Until further notice

Requirements

5+ years of product management experience with strong healthcare domain expertise
Experience building and scaling products in inpatient or ambulatory clinical settings within large health systems
Proven track record of integrating products with major EHR systems (Epic strongly preferred)
Deep understanding of clinician workflows, challenges, and documentation burden
Demonstrated ability to take products from concept (0 to 1) through scale
Strong analytical skills with experience defining KPIs and measuring outcomes
Ability to collaborate deeply with engineering and design teams to prototype and ship products
Experience working across distributed and global teams

Job Responsibility

Own end-to-end product lifecycle including strategy, roadmap, execution, and go-to-market
Lead development of AI-driven clinical intelligence across ambulatory workflows (pre-visit through follow-up and panel management)
Build decision support tools that enhance clinical judgment while preserving clinician autonomy
Partner cross-functionally with engineering, clinical, design, and data teams to deliver high-impact solutions
Collaborate closely with health systems to validate product direction, iterate quickly, and drive adoption
Establish standards for responsible AI deployment in clinical environments with a focus on measurable ROI
Identify and address clinical, documentation, and coding gaps at the point of care
Deliver role-specific and specialty-specific recommendations across the ambulatory care continuum
Drive product adoption from pilot phases through enterprise-scale implementation
Define success metrics and continuously measure product performance and clinical impact

Fulltime

Vice President of Revenue Cycle Operations

The Vice President of Revenue Cycle Operations at Boston Children’s Hospital wil...

Location

United States , Boston

Salary:

237619.00 - 380182.00 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
advanced degree (MBA, MHA, or related discipline) preferred
12+ years of progressive leadership experience in revenue cycle operations, preferably in an extensive academic or pediatric health system
Demonstrated success in leading complex, multi-functional teams and large-scale revenue cycle transformation initiatives
Proven experience managing hospital and professional revenue cycle functions, including coding, AR, revenue integrity, and financial clearance
Expertise in Epic and modern revenue cycle technologies, analytics, and automation strategies
Strong financial acumen with understanding of healthcare reimbursement, DRGs, denials management, and payer dynamics
Knowledge of compliance and full revenue cycle operations in complex healthcare environments
Skilled in using data and automation to drive performance and efficiency improvements
Ability to lead and develop high-performing teams, drive change, and deliver measurable results

Job Responsibility

Develop and execute a multi-year transformation roadmap to position BCH as a top-performing revenue cycle organization
Align strategies across departments to enhance enterprise capabilities in coding, accounts receivable, revenue integrity, and financial clearance
Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight across initiatives and teams
Provide day-to-day leadership and accountability for: Pre-Service Financial Clearance, Coding (Inpatient & Outpatient), Revenue Integrity, Hospital Accounts Receivable
Ensure achievement of departmental KPIs, including targets for uncollectible rates, AR days, clean claim rates, and denial prevention
Drive initiatives to reduce uncollectible accounts toward a goal of 2.0% of NPSR (FY27 target)
Lead strategies to decrease AR days from 80+ to ~70 while improving cash flow and reducing cost to collect
Protect and optimize BCH’s $3B+ annual revenue through strong controls, visibility, and accountability
Mentor and develop Director and Senior Director-level leaders to ensure operational excellence and leadership continuity
Build bench strength within mid-level management to support organizational growth and succession planning

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

OSHPD Sr. Project Manager

As a Sr. Project Manager, you will direct and manage healthcare projects to achi...

Location

United States , San Jose

Salary:

150000.00 - 225000.00 USD / Year

360 Headhunter

Expiration Date

Until further notice

Requirements

MS/BS Degree - Civil engineering, Construction Management, Architecture or closely related professional field from an accredited program
15 + years of healthcare and OSHPD experience in California
Registration as a PE or an Architect in CA. a plus
MUST HAVE HOSPITAL CONSTRUCTION AND OSHPD EXPERIENCE
Knowledge of Joint Commission, OSHPD Administrative Code, applicable NFPA Codes, and California Building Codes
Detailed knowledge of all aspects of building systems and codes
Working knowledge of construction trade practices and safety requirements
Skill in managing all administrative and technical aspects of construction and alteration projects in a medical healthcare environment
Knowledge in Project Controls (Math / Accounting)
Demonstrated skill in using a PC with related software including MS Office Suite, CAD, Access, Primavera (P6), Procore, Sega, etc.

Job Responsibility

Direct and manage healthcare projects to achieve client satisfaction in accordance with the firm’s vision statement and policies
Report to the Director and operate as the main point of contact with the Owner (and/or Owner’s Representatives)
Communicate with clients, our design teams, construction contractors, agencies, and other project stakeholders to achieve project success
Monitor, adjust and maintain scope, schedule and budget for medium to large size projects under multiple delivery methods

What we offer

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Car Allowance / Gas Card
Company Expense Acct

Fulltime

Vice President, Payors & Evidence

The Vice President, Payors and Evidence, is a key member of the U.S. leadership ...

Location

United States , Minneapolis

Salary:

232000.00 - 320000.00 USD / Year

Coloplast

Expiration Date

Until further notice

Requirements

Bachelor’s or Master´s degree in Business, Health Sciences, Management or Health Policy required
12+ years of experience – including specific experience with medical devices and/or health policy
Proven experience to develop Medicare coding, coverage, payment strategies for medical products reimbursed in inpatient, outpatient or in the community settings
Track record of cross functional collaboration with clinical or medical affairs teams in US and/or Europe in support of reimbursement and commercial success
Minimum of 5 years of successful management experience, leading senior level management, professionals and highly skilled employees
Proactive style and a strategic business sense that will allow them to develop creditability across the organization
Ability to consistently work, manage and lead with ethical integrity
Willingness and ability to travel –30%, some international travel expected.

Job Responsibility

Reimbursement including Government and Public Affairs
Market Access
Medical Affairs
Regulatory Compliance
Organizational Leadership

What we offer

Comprehensive medical, dental, and vision insurance plans
Company sponsored wellness programs and mental health resources
Paid leave of absence for qualifying events
Generous paid parental leave for both birthing and non-birthing parents
Competitive 401(k) plan with company match that vest immediately
Financial planning services
Corporate discount programs for goods and services
Generous paid time off
Flexible work hours
Flexible work arrangement options

Fulltime

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Inpatient Coding Team Lead

Job Description

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