Description

Are you passionate about serving patients in an inspiring work environment alongside talented people? Get moving with OCR! With over 50 years in business, we are the premier provider of orthopedic care in Colorado, Wyoming, and Nebraska. Our organization continues to grow and we are looking for individuals who share our mission.

The Director of Alternative Payment Models (APMs), Payer and Broker Relationships is responsible for the successful development and growth of the APM portfolio at OCR and maintenance and optimization of existing fee for service contracts. This position works closely with the executive leadership of OCR in establishment of the APM portfolio.

Essential Duties and Responsibilities 

The mission of the Alternative Payment Models (APM) and Payer and Broker relations director will be accomplished by (1) development of a data gathering and analytics process (2) creation of an APM portfolio (3) development and maintenance of relationships with internal and external stakeholders and (4) maintenance of fee for services contracts.

The APM and payer and broker relations director will establish a written vision for the department. The vision will be updated yearly, shared with leadership and the director’s team, and used to guide the strategic objections and decision making of the department.

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Administrator

Job Title: Administrator

Department: Administration

Report to: Physician Owners

Supervises: Office / Billing Managers

Overtime Status: Exempt

Job Summary: The Administrator is responsible for successfully managing and operating a busy Pediatrics practices involving multiple clinic sites. Provides Physicians with the resources required to meet patient needs and meet the financial objectives of the group practice.

Salary Range: $ 120,000- $ 130,000

All interested applicants should forward a resume to Ellen Boyd @ Centennial Valley Pediatrics (eboyd@cvpeds.com)

Position: Certified Professional Coder Dermatology CPCD

Employer:  Colorado Springs Dermatology Clinic, 170 South Parkside Drive, Colorado Springs, CO 80910

Date needed 6/1/2023  (Coder retiring and will work for 5 months)

Location:  Colorado Springs, Colorado

Full Time Position

Experience required:  Must have a minimum of 2 yearsdermatology and Mohs experience as a CPCD

We are an ever-growing private Dermatology Practice in Colorado Springs, Colorado.  We are seeking a CPCD with a minimum of 2 years experience in dermatology coding and Mohs coding.  We are a very busy 11 doctor practice with 4 locations.  

Our ideal candidate will have the following qualifications:

• Knowledge of medical terminology and knowledge of CPT and ICD coding (including surgical procedures and applicable modifiers)

• Excellent verbal and written communication skills

• Excellent interpersonal and customer service skills

• Exhibits high degree of accuracy and attention to detail in all documentation and correspondence

• Strong analytical and problem-solving skills

• Ability to prioritize tasks, time sensitive reports and projects- able to meet deadlines

• Ability to function well in a high-paced environment

•  Ability to work in a changing environment and handle multiple tasks as needed

• Ability to work independently with minimal supervision

ESSENTIAL DUTIES AND FUNCTIONS:

• The following list describes the essential duties of this role. Individuals in this role may not perform all these duties or may perform additional or unrelated duties as requested by management.

• Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record

• Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with ICD10, CPT, HCPCS, and any other coding classification systems that may be required

• Data Entry/Charge Entry/Payment Posting

• Develops a relationship with each doctor to open communications for coding discrepancies.

• Supports  A/R follow-up and claims appeal

• Responsible for reviewing and posting claims and ensuring correct diagnosis codes, modifiers, etc. are applied before releasing claims for submission

• Stays informed regarding current coding regulations, insurance company polices and effectively applies this knowledge and keeps all providers and Business Office personnel up to date with any changes in coding procedures

• Answers billing questions as needed from providers, staff, patients, etc.…

• Works specialty reports and/or projects as requested by management

• Hybrid position both remote and office.  Full-Time M-F Hours may be flexible. 

• Meets with manager and/or providers as requested in clinic

 

BENEFITS:

Excellent 401K

Health Insurance

Dental Insurance

Long term disability Insurance

Life Insurance

PTO

Perks – Laser Center Services

 

Salary $60,000 to $65,000 for CPCD

Please send your resume to:  jspurgeon@csderm.com

SummitStone Health Partners has an exciting opportunity for an RCM Systems Manager to join us and experience a level of caring and a spirit of teamwork that is uncommon in behavioral health today. We provide much-needed services for people at their most vulnerable times, often overlooked and underserved. We know we must support our teams passionately and with dignity to succeed in our purpose. 

We embrace our diversity.

We're more than welcoming to people of different backgrounds, identities, and experiences. Diversity, Equity, and Inclusion are the cornerstones of our entire organization. We embrace diversity in all its dimensions. We also honor our hard work and celebrate who we are. We invite everyone to share our journey and are proudly an equal opportunity and open access employer. 

·         Location: Fort Collins, Colorado (HYBRID)

·         Status: Full Time, Salaried

As an RCM Systems Manager, you will manage team members that provide analytics and support to Revenue Cycle, business application support, project management, and training needs. An RCM Systems Manager maintains revenue cycle applications, analyzes revenue cycle processes, and ensures the accuracy and integrity of SummitStone's revenue cycle data. You will recommend modifications to established practices or system functionality, and implement changes as needed to support the revenue cycle.

Additional duties include coordinating with managers, senior leadership team, and other stakeholders to improve performance, address issues, and lead development of Revenue Cycle reporting and analytics. The RCM Systems Manager will manage large complex projects and programs and maintains knowledge of departmental compliance with SummitStone's policies and procedures. Maintaining and supporting a culture of compliance, ethics, and integrity is a must.

We have an impressive range of benefits, programs, and perks that we offer: Based on working 20/hrs. or more per week.

Generous PTO and leave times

·         Flextime Scheduling

·         Bereavement and Medical Leave

·         Paid Time Off (PTO)

·         Voting Time Off

·         Extended Leave Bank (ELB)

·         Family Leave

Financial benefits

·         403(b) Retirement Plan

·         Travel Reimbursement

·         Cafeteria 125 Plan

·         Loan forgiveness program

Health, Medical, and Wellness Benefits

·         Medical Insurance

·         Dental & Vision Insurance

·         Life Insurance and Long-Term Disability (LTD)

Experience and background we look for:

·         Bachelor's degree in business, health care administration, computer science, mathematics, or information technology is preferred. Minimum of three years of RCM, business application support experience or data management and analysis experience required. Valid driver's license.

·         Preferred: Bicultural/Bilingual. Experience in a non-profit/human services organization or mental health experience

Please email your resume and/or cover letter to paula.figgs@summitstonehealth.org.