Total 61 job vacancies by US104 Guidehouse Managed Services LLC

Job Family:

Travel Required:

Clearance Required:

• What You Will Do:

• Provide efficient, timely, courteous registration services to ensure a high level of customer service.

• Create a positive impression for each patient, family member, visitor or staff while performing the tasks of pre- admitting, admitting and/or registering, routing or escorting patients, family or visitors.

• The primary responsibility is to assist patients and their families in accessing services acting as an advocate and navigator until the patient is handed off to clinical staff.

• This position is located at CMHS Day Shift 10 AM

What You Will Need:

• High School Diploma or equivalent (GED)

What Would Be Nice To Have:

• One (1) year Patient Access experience

• One (1) year Customer Service experience

• Data Entry experience

• Familiarities to Health Plans/Insurances

• Bilingual in English and Spanish

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance for interventional radiology and cardiac cath for facility coding. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.  

What You Will Need:

• 3-5 years ICD-10 and CPT coding experience

• 1-5 years minimum experience coding outpatient hospital interventional radiology and cardiac cath

• Must have one of the following credentials: CCS, CPC, RHIA, RHIT, or COC

• High school diploma or equivalent

What Would Be Nice To Have:

• Strong knowledge and application of government and other payer guidelines as they relate to compliant coding.

• Strong knowledge of Revenue Integrity and/or medical necessity requirements

• Experience in professional coding for intentional radiology and cardiac cath.

#Indeedsponsored

#LI- Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Clinical Documentation Integrity Specialist reviews and analyzes health records to identify opportunities to clarify relevant diagnoses and procedures for distinct patient encounters.  Works collaboratively with providers, other health care professionals and coding team to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to each patient, as well as ensuring compliant reimbursement of patient care services.

Essential Job Functions:

Strong organizational skills

Proficiency with technology

A Team Player that is able to work independently with minimal supervision

Effective verbal and written communication skills

Ability to interact directly with Physicians and other clinicians in a professional manner

Ability to accommodate flexibility in work schedule based on physician availability

Duties and Responsibilities:

• Conducts comprehensive initial and follow-up concurrent reviews of medical records for assigned patients in the time frame, frequency and prioritization as defined for the CDI team 

• Identifies opportunities to clarify incomplete or conflicting documentation and/or to validate diagnosis in the medical record.

• Understands the guiding principles of clinical validation and writing a compliant query.

• Prepares a compliant written query for responsible treating physician, following the most current ACDIS/AHMIA Guidelines to Achieving a Compliant Query Process

• Identifies principal diagnosis options, secondary diagnoses and significant procedures in order to assign working MS-DRG.

• Establishes a working DRG and updates DRG based on record documentation during concurrent reviews to reflect current expected Length of Stay as appropriate

• Utilizes the appropriate UAB query template and follows 2022 ACDIS/AHIMA Guidelines to Achieving a Compliant Query Process

• Ensures relevant and/or approved clinical indicators specific to the patient and the clinical record are cited on the query template.

• Choices provided on the query must reflect reasonable conclusions specific to the patient and the clinical record

• Demonstrates knowledge of Patient Safety Indicator’s (PSI’s), Hospital Acquired Conditions (HAC’s), Severity of Illness & Risk of Mortality (SOI/ROM) as well as present on admission status

• Ability to appropriately apply and use hospital approved clinical indicators for specified diagnoses

• Ability to follow hospital specific procedures and policies with regards to documentation requirements, query escalation, DRG reconciliation and other duties.

• Tracks physician query response documented in the medical record.

• Maintains productivity and established performance benchmarks for quality

• Ensures competency in use of CDI application to process and prioritize daily work lists, capture results of record reviews, track queries and query responses.

• Enters all required data into CDI application and/or other systems to enable coders and CDI/Coding auditors to determine disposition of concurrent queries in order to assign the final MS-DRG as well as SOI and ROM.

• Ensures competency in use of electronic coding references to code and assign working MS-DRG along with, SOI and ROM; as well as reference related Official Coding Guidelines and Coding Clinic for accurate code assignment

• Collaborates with Coding team on any questions related to ICD-10 coding and/or MS-DRG assignment, involved in the preparation of concurrent and/or retrospective queries.

• Participates in DRG reconciliation process in a collaborative, timely, and thorough manner with coders

• Participates in departmental and hospital committees, assigned task forces, including service line assignment meetings as requested

• Contributes to a positive and collaborative working environment

• Comply with HIPAA and code of conduct policies

What You Will Need:

• Graduation from accredited School of Nursing with ADN or BSN OR graduation from accredited medical school with MD or MD equivalent

• OR high school diploma and CCS Certification with minimum 6 years of relevant experience

• Must maintain current/active credential while employed

• Minimum 2+ years acute care hospital experience, CDI experience, or acute care inpatient hospital coding experience

What Would Be Nice To Have:

• CCDS, CDIP

• Familiarity with encoder and DRG assignment

• Critical thinking, analytical skills, and ability to resolve problems

• Current working knowledge of Official Coding Guidelines and Coding Clinics knowledge of medical terminology, anatomy, physiology, microbiology, and disease process

• Excellent communication skills, employing tact and effectiveness

• Ability to converse with physicians in sometimes difficult scenarios

• Strong typing and computer skills

#Indeedsponsored

#LI- Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards. This position will require two days working onsite at a major hospital facility in Austin, Texas and three days working remotely.

• Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding.

• Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant

• Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment.

• Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team.

• Initiates compliant physician queries when documentation is confusing, ambiguous or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process”, October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).

What You Will Need:

• At least one of the following: RN, MD or MD Equivalent or RHIA, RHIT or CCS and university degree (Relevant experience may be substituted for formal education or advanced degree)

• At least 2 years acute care inpatient hospital coding or CDI experience

• Familiarity with encoder and DRG assignment

• Demonstrate critical thinking, analytical skills and ability to resolve problems.

• Maintain current working knowledge of Official Coding Guidelines and Coding Clinics

• Strong knowledge of medical terminology, anatomy, physiology, microbiology and disease processes

• Excellent communication skills, employing tact and effectiveness.

• Ability to converse with physicians in sometimes difficult scenarios.

• Strong typing and computer skills; proficiency with HER systems, CDI software systems and encoders

What Would Be Nice To Have:

• CCDS, CDIP preferred, but not required.

• Medical Coders- previous inpatient medical record review experience

• Strong clinical understanding of disease process.

#Indeedsponsored

#LI-Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Health Information Management (HIM) Auditor ensures the integrity of data in the Electronic Health Record (EHR). Audits, analyzes and reports on data within the Electronic Health Record.

• Structures and organizes data integrity audits. Assists in the development of audit tools and data models in collaboration with appropriate technical groups. Develops any education tools necessary to ensure quality data is captured.

• Conducts and monitors audits and distributes audit tools. Works with clinics to ensure meaningful data capture. Educates staff, as needed, on the principles of meaningful use. Troubleshoots issues and adjusts audit processes, as necessary.

• Compiles and analyzes audit findings. Notes trends and patterns in EHR data. Develops standardized reports, incorporating data from other sources, as appropriate. Reports EHR data issues to management.

• Collaborates with other departments as requested to provide guidance and expertise related to data integrity issues.

• Performs other duties, as assigned.

What You Will Need:

• Bachelor's Degree

• 2+ years relevant/related previous experience (Work experience may not substitute for education experience)

What Would Be Nice To Have:

• Bachelor’s Degree in Health Information Management, Nursing or other related healthcare field

#Indeedsponsored

#LI-Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Hospital Admissions Representative is responsible for obtaining and verifying demographic information, insurance benefits and eligibility. Assigns the correct medical record and account number; therefore, providing a database which ensures accurate billing and clinical information.

SHIFT: This position is onsite SWING (Afternoon into Evening) 3:00PM -11:30PM with rotating weekends and holidays.

Please note: schedule may be adjusted according to the needs of the business based on patient census.

Duties (include but not limited to):

• Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.

• Obtains required signatures on legal consents and insurance forms.

• Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.

• Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.

• Reviews Physician’s orders for completion and ensures all required information is listed.

• Completes Medicare Compliance and obtains ABN if necessary.

• Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.

• Maintains multiple computer systems.

• Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.

• Answers telephone calls. Follows pre-established script and provide assistance to callers.

• Completes all shift duties in a timely and accurate manner.

• Complies with all safety regulations, policies and procedures as defined by Customer.

What You Will Need:

• High School Diploma or equivalent GED required.

• Minimum 1 year experience in a medical setting or heavy customer service environment utilizing data entry skills, insurance or other online websites and various software applications.

• Ability to type a minimum of 35 WPM.

• Medical terminology knowledge.

What Would Be Nice To Have:

• 2 years of Emergency Department admitting experience.

#Indeedsponsored

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The HIM Tech II will process, analyze and ensure all medical records are complete within the required time frame. Will ensure the integrity of the electronic medical records through data analysis, review and reporting. Will provide a timely response for requests of medical information according to departmental and hospital release of information guidelines.

• Ensures the integrity of the electronic medical record through analysis and review. Interacts and communicates with medical and professional staff to assist with research, audits and timely completion of medical records

• Responds to requests for release of medical information for direct patient care from internal and external parties according to departmental and hospital guidelines

• Coordinates completion of patient’s medical record and ensures appropriate chart information is present and takes appropriate steps to secure any missing information

• Works with supervisor and/or manager to identify and solve problems, decrease any workflow restrictions, implement process improvements, and ensure timely completion of data collection

• Performs other duties as assigned

What You Will Need:

• High school diploma or equivalent

• 1-3 years prior relevant experience

What Would Be Nice To Have:

• Prior knowledge and experience in healthcare

• Excellent written and verbal communication skills

• Ability to multi-task

• Ability to problem solve

• Ability to maintain electronic records and filing systems

#Indeedsponsored

#LI-Remote

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

Under general supervision, a Diagnostic Radiology Coder, codes Radiology Department charts consisting of but not limited to procedures including MRI, X-Rays, Echos, US, PET Scans, NM, Mammograms and/or charge tickets as assigned using the most current CPT/ICD/HCPCS manuals as assigned.  If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff.  Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required.

Must be self-directed / self-motivated; must have good communication and interpersonal skills.  Must be: (1) detail oriented (2) accept responsibility for the direction, control and planning of  one’s own work; (3) recognize the rights and responsibilities of patient and employee confidentiality; (4) adaptable to change and improvement; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6)show exemplary attitude in levels of maturity, responsibility, judgment and conduct (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) perform effectively when confronted with emergency, critical, unusual or dangerous situations; and (9) demonstrate the quality work ethic of doing the right thing the right way.

What You Will Do:

• Assigns case numbers to special billing charges if applicable or sends to research as needed
• Assigns required CPT/ICD/ASA/HCPCS codes and/or modifiers as needed per documentation  
• Identifies missing information and gives to appropriate party for follow up
• Resolves TES edits as required
• Has specific job knowledge to perform assigned job functions, including all applicable computer programs
• Attends required in-service training, various committees, department and other appropriate meetings related to medical coding issues 
• Accepts assignments and suggestions willingly

Quality Assurance:

• Meets or exceeds quality assurance standards as defined by management for work assigned
• Admits mistakes, makes corrections, and works to prevent future occurrences
• Seeks continuing education to expand job knowledge
• Maintains all coding certifications

Productivity:  

• Meets or exceeds productivity standards as defined by management for work assigned
• Meets assigned deadlines/turnaround time
• Performs tasks efficiently and assumes more work when possible
• Works with management to ensure workflow is maintained and effective

Communication:

• Openly exchanges information with co-workers in a timely manner
• Respects the confidentiality of information in the workplace
• Displays pleasant and professional attitude at all time
• Listens well to co-workers and management to enhance understanding and participation
• Provides coding/technical guidance to physicians and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specified documentation, or codes that do not conform to approve coding principles/guidelines
• Informs others as needed in a clear, concise manner;  selects the proper mode of communication and includes appropriate parties
• Ensures all written communication is grammatically correct and checks for typographical errors
• Notifies supervisor promptly when problems arise with equipment, programs, etc.

Ethics and Compliance:

Employee performs within the prescribed limits of the company's Ethics and Compliance program and is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer or the compliance hotline.  Employee completes all required annual compliance education.

What You Will Need:

• High school diploma and 1-3 years of prior relevant experience
• One - Two years Diagnostic Radiology Coding Experience
• Certified Professional Coder (CPC) or a comparable coding certification (e.g., AHIMA CCS-P)
• Proficient computer skills. 

What Would Be Nice to Have:    

• Three - Five years Diagnostic Radiology Coding Experience

Additional Requirements

• The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

Under general supervision, an Interventional Radiology Coder, codes any areas of Interventional Radiology including, Vascular, Neurology, Peripheral and Cardiology using the most current CPT/ICD/HCPCS manuals as assigned.  If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff.  Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required.

Must be self-directed / self-motivated; must have good communication and interpersonal skills.  Must be: (1) detail oriented (2) accept responsibility for the direction, control and planning of  one’s own work; (3) recognize the rights and responsibilities of patient and employee confidentiality; (4) adaptable to change and improvement; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6)show exemplary attitude in levels of maturity, responsibility, judgment and conduct (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) perform effectively when confronted with emergency, critical, unusual or dangerous situations; and (9) demonstrate the quality work ethic of doing the right thing the right way.

What You Will Do:

• Assigns case numbers to special billing charges if applicable or sends to research as needed
• Assigns required CPT/ICD/ASA/HCPCS codes and/or modifiers as needed per documentation  
• Identifies missing information and gives to appropriate party for follow up
• Resolves TES edits as required
• Has specific job knowledge to perform assigned job functions, including all applicable computer programs
• Attends required in-service training, various committees, department and other appropriate meetings related to medical coding issues 
• Accepts assignments and suggestions willingly

Quality Assurance:

• Meets or exceeds quality assurance standards as defined by management for work assigned
• Admits mistakes, makes corrections, and works to prevent future occurrences
• Seeks continuing education to expand job knowledge
• Maintains all coding certifications

Productivity:  

• Meets or exceeds productivity standards as defined by management for work assigned
• Meets assigned deadlines/turnaround time
• Performs tasks efficiently and assumes more work when possible
• Works with management to ensure workflow is maintained and effective

Communication:

• Openly exchanges information with co-workers in a timely manner
• Respects the confidentiality of information in the workplace
• Displays pleasant and professional attitude at all time
• Listens well to co-workers and management to enhance understanding and participation
• Provides coding/technical guidance to physicians and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specified documentation, or codes that do not conform to approve coding principles/guidelines
• Informs others as needed in a clear, concise manner;  selects the proper mode of communication and includes appropriate parties
• Ensures all written communication is grammatically correct and checks for typographical errors
• Notifies supervisor promptly when problems arise with equipment, programs, etc.

Ethics and Compliance:

Employee performs within the prescribed limits of the company's Ethics and Compliance program and is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer or the compliance hotline.  Employee completes all required annual compliance education.

What You Will Need:

• High school diploma and 5+ years of prior relevant experience
• Two - Three years Interventional Radiology Coding Experience
• Certified Professional Coder (CPC) or a comparable coding certification (e.g., AHIMA CCS-P)
• Certified Interventional Radiology Cardiovascular Coder (CIRCC) Certification
• Proficient computer skills. 

What Would Be Nice to Have:    

• Three - Five years Interventional Radiology Coding Experience

Additional Requirements

• The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

• Provides excellent customer service to all individuals.

• Perform accurate registration, arrival, and check-in functions upon a patient presenting themselves for service.

• Collect all necessary patient, demographic, and insurance information/documentation to ensure a patient is completely registered within the patient registration systems.

• Obtain all necessary patient signatures and information at time of arrival.

• Escalates any advanced or complex registrations to a more experienced team member.

• Perform real-time insurance eligibility and benefits verification for all patients.

• Verifies insurance benefits; explain financial requirements to the patient or patient representative, and collects any outstanding patient portion at the point of service.

• Perform collections and cashiering functions and refer patients to Financial Counseling where appropriate.

• Ensure that all activities related to hospital collection activities meet department requirements.

• Works assigned shifts at hospital Emergency Admitting departments; 12-hour shifts, 8-hour shifts, 1st, 2nd and 3rd shift as assigned. Some holiday and weekend work when needed.

• Serve as preceptors/trainers to orientee.

• Serves as a mentor to new associates and assist in new employee orientation.

• Performs Inpatient Admission Admitting duties that include determining in and out of network benefits, review of the EMR Inpatient status tracking feature and the attainment of Important Message for Medicare patient signatures.

• Performs carve outs as it relates to observation admission services, determines in and out of network benefits as it relates to observation stays, review of the EMR Observation status tracking feature and the attainment of patient signatures as they relate to observation patient stays.

• Consistently exceeds weekly individual goals and standards.

• Performs other duties as assigned.

What You Will Need:

• High School graduate or equivalent

What Would Be Nice To Have:

• One (1) year of hospital Patient Access experience.
• One (1) year of Customer Service experience.
• Data Entry experience.
• Familiarity to Health Plans/Insurances.
• Bilingual

This opening is Part Time in the ED based at Community Memorial Hospital in Ventura, CA. Night Shift from 7:00 PM - 7:30 AM PT.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Hospital Bed Board Coordinator (Part Time) will regulate bed availability throughout the hospital.  Bed Board Coordinators function as key associates overseeing bed availability hospital-wide. Admissions, transfers and discharges will be monitored in real time to facilitate effectual throughput and patient flow. 

This is a Part Time position working NIGHTS, two days a week, weekends, holidays (weekends & holidays).

Monitors admit status of patients from the ED to the inpatient/Observation setting.

Communicates with ER staff, ED care managers, house supervisors, environmental services, and inpatient charge nurses regarding patient status and bed availability.

Initiate clear, concise, and ongoing communication regarding bed availability and patient flow.

Reviews medical admit orders for accuracy and completion, as well as to oversee bed availability for admits, transfers, and discharges.

Conducts walking rounds with inpatient charge nurses to establish bed status of availability or non-availability.

Has knowledge on insurance verification to determine accurate insurances on all admissions, i.e. HMO, PPO, Medicare Days, authorizations etc.

Maintains positive, effective, collaborative interactions with physicians, department directors, and staff members to communicate the needs of patients and the facility.

Operates the hospitals electronic bed board with detail and efficiency.

Possesses basic registration sills.

Exemplifies analytical thought processes, prioritizing critical admits and in-house transfers as medically indicated.

Completes a daily hospital census reconciliation.

Notifies house supervisor, CM, ED, environmental services, and inpatient staff regarding bed delays.

Anticipates potential barriers to admittance, unit transfers, and discharges, intervening appropriately to offset any adverse impact.

Maintains a calm, professional, rational demeanor during all times of interaction.

Performs well and maintain bed stability in situations involving conflict or crisis.

Adheres to organizational and departmental policy maintaining confidentiality and patient rights. 

Participates in performance improvement and knowledge advancement opportunities.

Performs other duties as assigned by manager and/or director of care management.

What You Will Need:

High school diploma or GED equivalent.

Previous experience in an acute care setting OR related health care setting OR strong previous customer service experience.

What Would Be Nice To Have:

A team player that can follow a system and protocol to achieve a common goal.

Highly organized and well developed oral and written communication skills.

Confidence to communicate and outreach to other community health care organizations and personnel.

Demonstrates sound judgment, decision making and problem-solving skills. 

Proficient computer skills utilizing Microsoft Office, especially Word and Excel.

Critical thinking.

Resourcefulness.

Experience in patient admittance, bed board, or administrative work.

Strong conceptual, as well as quantitative and qualitative analytical skills

#indeedsponsored

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

• What You Will Do:

• Provide efficient, timely, courteous registration services to ensure a high level of customer service.

• Create a positive impression for each patient, family member, visitor or staff while performing the tasks of pre- admitting, admitting and/or registering, routing or escorting patients, family or visitors.

• The primary responsibility is to assist patients and their families in accessing services acting as an advocate and navigator until the patient is handed off to clinical staff.

• This position is located at CMHS Day Shift start times may vary 4 AM to 10 AM. Shifts are up to 8 hours.

What You Will Need:

• High School Diploma or equivalent (GED)

What Would Be Nice To Have:

• One (1) year Patient Access experience

• One (1) year Customer Service experience

• Data Entry experience

• Familiarities to Health Plans/Insurances

• Bilingual in English and Spanish

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Patient Account Representative – Self Pay is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned

This position offers an attractive hybrid schedule working two days in our Gardena, CA office and three days virtually from home.​

• Heavy outbound calling

• Account Review

• Customer Service

• Account Updates

• Strong Verbal / Written Communication Skills

• Complete all business-related requests and correspondence from patients.

• Minimum call requirement for self-pay representatives is 75 calls a day.

• Complete all assigned projects in a timely manner.

• Assist client and patients in all requested tasks.

• Communicate to Guidehouse management areas of concern or areas of improvement.

• Research and respond to all patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma or GED equivalent required.

What Would Be Nice To Have:

• Customer service skills / customer service experience required

• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

• 1+ year experience working in a Healthcare or Customer Service setting.

• Ability to initiate and follow through on projects and work independently with minimal supervision required.

• Bilingual Spanish preferred.

#IndeedSponsored

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Patient Access Supervisor is responsible for developing, implementing, and managing the efficiency and effectiveness of the Patient Access Departments. This includes activities in the Emergency Departments, Out-Patient Registration, Pre-Registration, Financial Counselor’s, Scheduling and Same Day Surgery. This position will work closely with the Director of Patient Access and Business Office to apply new and emerging approaches to our business processes. This position will perform all job-related duties as assigned.

Responsibilities and Duties:

• Provides input into strategic planning, goals, objectives, and budgets for the Patient Access Department.

• Acts and leads in a manner that is reflective of the philosophy, vision, and values of Healthcare Management Solutions. Integrates these values throughout all initiatives and efforts.

• Uses a proactive leadership style to model and promote a culture of trust and communication.

• Seeks suggestions and input from staff and colleagues.

• Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects.

• Assists with implementation plans.

• Provides input into Job Descriptions for Patient Access positions.

• Develops operational procedures related to the Patient Access Department.

• Performs on-site operational reviews of various Patient Access processes and publishes recommended action plans/ proposals in consultation with the Patient Access Director.

• Help to improve processes within all departments.

• Meet and exceed collection goals.

• Account review and staff follow-up.

• Staff Training and Support.

• Observe areas and their workflow.

• Prepare and maintain reports.

• Complete Payroll.

• Assist with maintaining supplies.

• Continually seeks ways and means for improving the delivery and support of Patient Activities and programs.

What You Need:

• Bachelor’s Degree or equivalent experience

• Two years hospital management experience in revenue cycle functions

What Would Be Nice to Have:

• Five years' experience leading/supervising others

#IndeedSponsored

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

Working under the general direction of the Senior Vice President of Operations and/or the Account Executive, the Senior Director, Revenue Cycle serves as the primary liaison between the Revenue Cycle Operations teams and his/her assigned Client for all aspects of the Revenue Cycle. This position will be responsible for the proactive oversight of the Revenue Cycle process and maintain a successful client relationship and client strategies. In addition, this position will develop a deep understanding of the Client’s Revenue Cycle to ensure KPI’s and quality measures are met at both their assigned location and at Service Center. This position will also supervise assigned Revenue Cycle Leaders at CBO and/or Client Site. The Senior Director, Revenue Cycle will monitor compliance with State and Federal laws and guidelines. This position will proactively identify opportunities for revenue cycle improvement initiatives and partner with the AE and Client leadership to develop and execute these plans. The Senior Director, Revenue Cycle will possess both technical and business skills to recommend, engage and manage their client’s strategic initiatives. The Senior Director, Revenue Cycle will perform any and all job-related duties as assigned.

Essential Job Functions:

• Comprehensive knowledge of healthcare access management, billing, finance and accounting principles.

• Excellent verbal and written communication skills.

• Comprehensive knowledge of Physician Revenue Cycle and related metrics and KPI’s.

• Strong attention to details and accuracy, using problem-solving skills and analytical thinking.

• Ability to successfully prioritize and manage numerous tasks simultaneously.

• Excellent strategic planning, management and implementation skills.

• Meet and anticipate Client needs.

• Well versed in developing and sustaining effective relationships with senior management & identifying opportunities within the client’s network.

• Deep leadership skills that can lead and drive change throughout complex organizations.

Duties and Responsibilities:

• Leading multi-disciplined teams to integrate their solutions & services.

• Direct implementation projects & liaise with Client Project Directors.

• Build & maintain relationships with key clients covering a range of business sectors.

• Provide insights to enhance delivery models & outcomes that meet their client's needs.

• Collaborate with implementation & development teams to enhance service delivery.

• Responsible for the maintenance of the governance model and meeting structure.

• Understand, meet and exceed set department goals.

• Gatekeeper of client site access.

• Responsible for special client projects.

• Apply legal compliance and compliance with client policies & procedures.

• Provide reports and statistical/analytical information for management and clients.

• Process month-end reports for Guidehouse and Client.

• Post payments, load business and transaction files as required.

• Promote Guidehouse and Client values; overall team work and a positive work environment.

• Ensure appropriate contractual discounts are applied.

• Review adjustments and refund requests.

• Maintain continual communication with Service Center to identify areas for improvement from client to improve productivity and results.

• Attend meetings with both the client and the Service Center.

• A/R Analysis, including but not limited to: Bad Debt, Aging, Cash Collections, Payer Realization Rates, Credit Balances, Denial Trending and Fatal Denials,

• Monitor unbilled inventory and work with client and Service Center to ensure compliance with targets.

• Establishes and manages effective, consistent communication with assigned Entity.

• Identifies and address business needs; provides guidance and timely responses to questions and requests.

• Provides analysis and context for monthly performance data.

• Maintains ongoing issues and priority list for internal and Client operations

• Completes analysis of issues for action, presents this information and assists the Entity implement action plans.

• Provides and implements plans to improve billing performance.

• Works with Managed Care Department for Underpayment Analysis.

• Works with Service Center Teams and Client to research and resolve denials.

• Upon identification of issues, researches issue to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle Directors, Client Analyst team, Client Leadership team, and AE as appropriate or to facilitate communication and resolution of the issues. 

• Attends and participates in committees and task forces as assigned.

Staff:

• Hire, review, discipline and separate employment.

• Monitor and report daily/monthly productivity.

• Ensure Team Member compliance with Guidehouse and Client policies and procedures.

• Compile and forward Team Member timesheets to Guidehouse payroll for processing.

• Verify and monitor time off requests.

• Able to fill in for Project Supervisors.

What You Will Need:

• Bachelor’s Degree

• 12 years’ experience with a healthcare provider or an outsourcing company

What Would Be Nice To Have:

• Has held a leadership role (preferably Director) in a Healthcare Organization, preferably one that includes a Physician/Faculty Practice as well.

• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

• Innovative, motivated & able to lead by example.

• Excellent verbal and written communication skills.

• Ability to initiate and follow through on projects and work independently with minimal supervision required.

#IndeedSponsored

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.