Career Center

Chief Innovation Officer
ETSU Physicians & Associates, Johnson City, TN

Applicants should apply online at https://etsuhealth.org/employment

SUMMARY: Under the direction of the Chief Executive Officer, the Chief Innovation Officer is responsible for overseeing the management and development of the Information Systems Division, Decision Support Team, Data Warehouse, Workflow Efficiencies, and Innovative Technology across the organization. This position will serve as the liaison with all external vendors that will make ETSU Health successful in an innovative process (Ballad, EPIC, ETSU IS, etc.). In addition, will develop performance standards for the departments to ensure support and services are provided in a timely and productive manner and will serve as the liaison with all outside vendors. Supporting and developing a system strategic plan will be a vital expectation.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

§ Manages and directs the activities of the Information System and EMR Divisions. Prioritizes staff to achieve high quality of service and develops performance standards to meet the organizations and departments goals and objectives.

§ Oversight of technology innovation related to all information systems functions and works closely with the EMR and other service providers.

§ Ensures staff are fully trained in the technical aspects of their job and establishes documentation requirements to maintain system controls and security.

§ Acts as Project Management department for entire organization in the development and implementation of the migration process to new technology and all improvements or enhancements with our patients, quality initiatives, and revenue enhancement.

§ Participates in planning meetings and committees related to projects, providing knowledge as it relates to ETSU Health’s overall vision and mission, when making recommendations.

§ Continuous development and maintenance of System Strategic Plan.

§ Implement process to have a strong training program for our end users and improvement process for workflows and efficiencies for the end users.

§ Other duties as assigned, as it relates to the overall mission and vision of ETSU Health.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE: A bachelor’s degree in business, healthcare administration, or related technology field is required. A master’s degree in healthcare administration or business administration is highly preferred. Ten years of progressive management in healthcare is required. Five plus years in a senior leadership role in healthcare is highly preferred. Experience managing staff, resources, and priorities in healthcare. Possess strong leadership qualities, team building and communication skills. Project management experience handling multiple stakeholders and deadlines for all organizational needs.

LANGUAGE SKILLS: Ability to read, analyze, interpret, and comprehend instructions, (whether written or verbal), correspondence, professional journals, technical procedures, or governmental regulations. Ability to compose correspondence, documentation, reports, and procedures. Ability to effectively present information and respond to questions from managers, patients, physicians, and administration, whether in person or on the telephone. Ability to respond to inquiries in a manner that the respondent can comprehend. Ability to respond effectively to the most sensitive inquiries, complaints, and situations.

MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure using whole number, common fractions, and decimals. Ability to calculate and apply concepts such as fractions, percentages, ratios, and proportions to practical solutions.

REASONING ABILITY: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions furnished in written, oral, diagram, or schedule form and deal with several abstract and concrete variables. Ability to apply common sense, good judgment, and problem solving skills in difficult situations.

OTHER SKILLS AND ABILITIES: Ability to establish and maintain an effective working relationship with faculty members, staff, patients, and other third parties. Ability to concentrate under high demands and listen effectively. Ability to organize tasks; work as a team member and independently. Convey a professional and positive image and attitude.

WORK ENVIRONMENT: The work environment characteristics are representative of those an employee encounters while performing the essential functions of this job within an office setting. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, use hands and fingers to feel objects; hear at normal ranges within the setting. The employee is occasionally required to bend, stoop, kneel, crouch, crawl, climb, and balance. The employee must occasionally lift, carry, and/or move more than 25 pounds.

Specific vision abilities required by this job include depth perception and the ability to adjust focus. Rapid mobility may also be required on occasions.

Applicants should apply online at https://etsuhealth.org/employment

Director of Coding - Auditing & Compliance
ETSU Physicians & Associates, Johnson City, TN
Applicants should apply online at:  https://etsuhealth.org/employment

SUMMARY: Under supervision of a member of the executive team, the Director of Coding is responsible for managing, directing, and coordinating coding operations and support of coding functions across the organization. This will include overseeing the work of the medical coding staff, patient’s medical records, and assigning the correct codes meeting the standards of AAPC. This will include compliance, education and auditing with developing coding standards and policies, conduct training sessions, review coding performance, and serve as a resource for physicians, residents, and other staff members at ETSU Health involved with billing third-party payers. Specifically, build standards around remote workers for accuracy, production expectations, limiting denial rates, and process improvements. This position is responsible for the strategic direction of coding, compliance, revenue cycle and improved accuracy and efficiency of the department and the providers across the organization as one unified department.

ESSENTIAL DUTIES AND RESPONSIBILITIES may include overseeing the following: Other duties may be assigned.

• Perform annual audits of documentation of inpatient and office medical records by physicians, residents, nurse practitioners and other providers.

• Educate the physicians, residents, nurse practitioners and other providers of coding and documentation issues based on the audits.

• Report audit results to the Executive Team, Compliance Committee, and Board of Directors as appropriate.

• Provide coding and documentation guidelines to the physicians, residents, nurse practitioners, and billing employees as needed.

• Provide an orientation to all new hire physicians on the compliance plan and policies, teaching physician guidelines, as well as conduct an initial audit on billing within first 90 days of a new provider.

• Research problem areas and provide solutions related to coding and reimbursement.

• Provide quarterly education to each department provider related to opportunities, denials, and changes within reimbursement by payers.

EDUCATION AND/OR EXPERIENCE: Associate’s degree required, bachelor’s degree preferred, and master’s degree highly preferred. CPMA certification required. Knowledge of CPT, ICD-10-CM and HCPCS coding systems and guidelines. Basic knowledge of HIPAA guidelines necessary. Experience in an academic and/or multi-specialty environment

preferred. Knowledge of medical terminology, physician billing, third-party regulations, and auditing procedures. CCS, CPC, ART or RRA required, plus 5 years of coding and billing experience. Previous auditing experience and leadership is required.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

LANGUAGE SKILLS: Ability to read, interpret, and comprehend simple instructions (whether written or verbal). Ability to compose simple correspondence and documentation. Ability to effectively present information and respond to questions in one-on-one and small group situations to patients, third parties, physicians, and other employees of the organization, whether in person or on the telephone. Ability to respond to inquiries in a manner that the respondent can comprehend. Ability to respond effectively to the most sensitive inquiries, complaints, and situations.

MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and other routine mathematical functions.

REASONING ABILITY: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret and solve practical problems with an extensive variety of information that deals with several variables. Ability to apply common sense, good judgment, and problem-solving skills in situations.

OTHER SKILLS AND ABILITIES: Working knowledge of computers, keyboards, and printers. Skill in composition, compiling, and preparing a variety of correspondence, documentation, reports, and other materials. Ability to establish and maintain an effective working relationship with faculty members, staff, patients and other third parties. Ability to concentrate under high demands and listen effectively. Ability to organize tasks, work as a team member and independently with a variety of professional disciplines. Convey a professional and positive image and attitude.

WORK ENVIRONMENT: The work environment characteristics are representative of those an employee encounters while performing the essential functions of this job within a medical office. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand, walk, sit; use hands and fingers to handle or feel objects; reach with hands and arms; and talk or hear at normal ranges within the setting. The employee occasionally is required to bend, stoop, kneel, crouch, and/or crawl. The employee is occasionally required to climb or balance.

The employee must occasionally lift, carry, and/or move up to 25 pounds.

Specific vision abilities required by this job include depth perception and the ability to adjust focus. Rapid mobility may also be required on occasions.

Stress levels may be high due to frequently dealing with numerous patients, physicians, family members, and other healthcare providers. Demands concentration and the ability to work in emotionally charged situations.

JOB SUMMARY AND ESSENTIAL FUNCTIONS:  As a member of the Ambulatory Services Team, will be responsible for the administrative, clinical and operational function of assigned clinics and/or practices to perform practice management oversight.  This position will be responsible to ensure that quality health care is provided in a manner that is cost efficient and with practice standards and regulatory requirements.

PRINCIPAL ACCOUNTABILITIES

1.    Operations

·         Effective in delegating responsibility appropriately to members of the staff while retaining overall accountability.

·         Manage performance of all staff within the practice.  Hire, orient, appraise and develop new staff.

·         Ensure that the physician practices perform at or above budgeted levels.

·         Provide monthly reports and analyses related to assigned practice(s) and provide feedback on financial performances to staff and the senior management. 

·         Utilize report metrics to educate providers on key operational factors and advise on the necessity of performance/behavior adjustments.

·         Maintain strong monitoring tools of account receivable and billing related issues for the appropriate practice.

·         Conducts regular meetings to promote strong communications with staff and physicians. 

2.    Practice Growth and Development

·         Focus on new patient growth.

·         Maintain clinical standards focusing on Joint Commission, CMS and other State and Federal requirements.

·         Establish par levels of supplies within the practice(s) and monitor purchasing to ensure par stock levels are maintained

·         Develop and maintain policies in accordance to clinical/practice standards.

·         Strategic planning and development of practice scope.

·         Maintain CLIA licensing up-to-date and in compliance with CMS guidelines.

·         Coordinates with Medical Staff/Credentialing to ensure that physicians/providers are fully credentialed.

·         Represent the practice(s) at meetings and conferences.

3.    Deliver Quality Care as Measured

·         Audit documentation and compliance related issues and create an educational event Audit documentation and compliance related issues and create an educational event as needed to ensure appropriate action is taken to mitigate risk.

·         Cross train staff to cover other practices within the organization.

·         Ensure standardization of practice procedures; maintain process and workflow via quarterly check lists.

·         Develop and support a relationship with Nursing Division in relationship to the staffing and evaluation of all nursing staff within the practice(s).

·         Maintain inspection readiness for Joint Commission, CMS and other regulatory agencies – including but not limited to –

·         Update all policies and procedures annually or as needed.

·         Keep staff informed, educated and prepared for regulatory priorities on quarterly basis.

·         Maintain monitoring tools to ensure policies are followed and understood.

·         Focus on medication management processes; sample management.

·         Focus on prevention of falls, hazardous waste process and injections training.

·         Keeping staff current on the latest CMS National Patient Safety Goals by providing monthly education and review.

4.    Work Collaboratively

·         Review clinical services regularly, recommend and implement changes or extensions to services as agreed with the Director.

·         Identify significant challenges and threats to the practice and ensure effective responses.

·         Promote and maintain own and others’ health, safety and security to include: identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

·         Make effective use of training to update knowledge and skills.  Utilize appropriate infection control procedures, maintaining work areas in a neat and safe manner and free from hazards.  Report potential risks quickly and devise methods to eliminate them.

·         Strive to maintain quality within the Practice.  Alert other team members to issues of quality and risk for prompt resolution.

·         Assess own performance and take accountability for own actions, either directly or under supervision.

·         Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.

·         Work effectively with individuals in other agencies to meet patient’s needs.

·         Effectively manage time, workload and resources.

5.    Demonstrate Service Excellence

·         Continuously work for the common good of the organization to further the mission and as a team player to accomplish projects and tasks as they arise.

·         Communicating and working to resolve customer and employee issues and complaints as they arise. 

·         Maintain visibility and accessibility throughout the practice(s) and organization, including weekly rounding.

6.    Promote Service Excellence

·         Identify and hold staff accountable for core department service excellence measures.

·         Provide staff with empowering parameters and expectations for prompt resolution of customer service issues and complaints.

·         Champion effort and achieve improved patient satisfaction by assessing patient satisfaction quarterly and initiating highly effective plans to improve patient satisfaction scores.

POSITION REQUIREMENTS:

Education:  Bachelor’s Degree in HealthCare Administration/Management or related area is required.  Master's Degree in business administration, management, health care management, or related field preferred

Experience:  One to three years progressive health care experience in a medically related practice, operation or business unit.  Two years of leadership experience preferred.  Additional experience and requirements may be required based on assigned medical clinics/practices.

LICENSE/CERTIFICATION:    Medical Group Management Association (MGMA) and/or American College of Healthcare Executives (ACHE) preferred. Additional certifications may be required based on practice/clinic assignment.

KNOWLEDGE, SKILLS AND ABILITIES:

·         Able to manage health care practices with multiple providers.

·         Demonstrates ability to provide leadership and ensures that clear and complete expectations are set annually and updated as needed to achieve the Practice’s objectives.

·         Demonstrates insight and thoroughness in anticipating needs and developing clear, sound, realistic strategic and operational plans, capital and operating budgets.

·         Demonstrated ability with budget preparations, accounting/finance and organizational, management and HR practices.

·         Demonstrated analytical skills necessary in order to solve technical, clinical, administrative, billing or managerial issues relative to complex plans, systems, and programs.

·         Demonstrated ability to manage multiple independent projects simultaneously.

·         Demonstrated communication skills necessary to interpret hospital policies in situations requiring persuasion, prepare and present presentations to hospital senior management.

·         Ability to identify with, share in, and display a commitment to the mission, philosophy, and objectives of the organization. 

·         Working knowledge of Joint Commission and other requirements and regulations.

Send resumes to Yakeshia Reed

5 years experience in OBGYN Medical Coding and Billing/ICD-10

CCS (Certification) required

Coordination of all patient and insurance billings for the medical facility by performing the following duties:

- Coding of Labor and Delivery

- Coding of OBGYN Surgeries

- Coding of Daily Office Visits

- Posting of daily office charges, surgery charges and delivery charges

- Create and send insurance claims via electronic EMR to clearinghouse

- Rebilling insurance companies or other third parties to secure payment for patients

- Verifies entries made by providers and makes corrections if necessary on the superbill prior to sending claims

- Works appeals if necessary to get claims paid

Please send all serious inquiries and resumes to Kelley Rice  - krice@whstn.com

POSITION:                           Cosmetic Center Manager

REPORTS TO:                    Practice Administrator/CEO

JOB SUMMARY:                This individual is responsible for managing the cosmetic teams at the Bristol, Johnson City & Kingsport offices and coordinating the day-to-day advertising, marketing, and social media activities.  This person is expected to guide the practice owners on the vision, goals, profitability, and strategies for the cosmetic center.

EDUCATION AND EXPERIENCE:

• 1.       Nurse practitioner, physician assistant, or licensed aesthetician with experience managing a cosmetic center
• 2.       If no management experience, then clinical experience with management aptitude & desire would be considered
• 3.       Demonstrable experience in personnel management is strongly preferred
• 4.       Ability to understand and manage to key financial metrics
• 5.       Experience with data processing systems, electronic health records, Microsoft Office, and Adobe

ESSENTIAL SKILLS AND ABILITIES:

• 1.       Humble, ambitious, and high level of emotional intelligence
• 2.       Superior interpersonal and communication skills (oral and written) - articulate and concise
• 3.       Decisive leadership with above-average judgment
• 4.       Focused on customer service and exceptional patient care
• 5.       Able to effectively sustain multiple simultaneous tasks
• 6.       Ability to anticipate critical issues and recommend effective solutions
• 7.       Highly professional image and cultivates professionalism among staff
• 8.       Hands-on experience with digital media and social media platforms including:  Facebook, Instagram, Twitter, TikTok, YouTube, and more
• 9.       Familiarity with additional digital marketing channels such as search engine optimization, website management, and email marketing
• 10.    Expertise in using consistent brand awareness across marketing channels
  

RESPONSIBILITIES:

• 1.       Financial operations of the cosmetic center, P&L management, and managing to margin
• 2.       Personnel management – support, training/coaching/professional development, trust (consistent, fair & objective), fulfilling work, flexibility/adequate coverage, communication & collaboration, and motivation.
• 3.       Ongoing monthly training for internal team, general staff & providers, regularly communicate what products & services are available, new employee onboarding, and protocols to ensure treatment competency
• 4.       Partnership/collaborative effort with practice administrator and practice partners
• 5.       Resource scheduling (employees, equipment, and treatment rooms) and patient wait times to be seen
• 6.       Strategic Inventory management - new products/technologies
• 7.       Regulatory compliance, and service standards
• 8.       Cosmetic facilities management & equipment maintenance
• 9.       Strategic oversight of digital marketing, content development, and website maintenance
• 10.    Ability to forecast, set, and maintain measurable goals (compared to Dermatology Associate’s history and other cosmetic practices)