Research Administrator Jobs

The Financial Clearance Specialist II is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance companies to prevent denials or penalties. Specialist II are responsible for documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and patient. The Specialist II must maintain strong working knowledge of insurance plans, contract requirements, and resources to facilitate appropriate insurance verification and authorization. Individuals must be able to run eligibility and secure full benefit coverage information (including COBRA when applicable) with insurance companies and employers, confirm all demographic information is correct, and ensure coordination of benefit (COB) and insurance plan codes are accurate. Specialist II must verify insurance coverage immediately for inpatient and outpatient accounts that are same day and next day add-ons. Financial Clearance Specialist II must determine if pre-certification, pre-authorization or a referral is required for insurance companies and obtain if applicable. The individual will be expected to communicate with providers and team regarding out-of-network issues, assess contracted and non-contracted payer issues, and document outcomes and next steps. Specialist II must also determine, communicate, and collect patient liability prior to service and attempt to collect prior balances. Representatives are to conduct all transactions appropriately and consistently, and complete Medicare Secondary Questionnaire accurately with the patient or patient’s representative. Specialist II must maintain compliance with HIPAA regulations as it pertains to the insurance processes. Representatives must maintain professional development by attending workshops, in-services, and webinars to remain up-to-date on insurance rules and regulations in addition to changes within the industry. Financial Clearance Specialist II is responsible for submitting authorizations for lab, diagnostic, and hospital ambulatory services and all other services as required.Essential Duties:Responsible for completing all registration and insurance fields in hospital registration information system.Ensure all insurance plans are properly selected in all registration and scheduling information systems.Confirm benefits align with appropriate plan code selected in registration system assuring clean claim.Responsible for calling insurance or use Internet portals to obtain and document: a) Insurance eligibility and benefits, b) Financial responsibility, c) Authorization and/or Pre-Certification as required.Responsible for calculating patient liability on hospital and professional accounts and communicating/collecting the liability from the patient.Responsible for accurate submission of CPT and ICD 10 coding.Research payer medical policy requirements for treatment.Communicate with physician offices regarding proposed admissions, special procedures, outpatient referrals.Communication with medical/clinical staff and patients on authorization status/outcome and / or with Director on denied or disputed claims. Responsible for preparing pre-registration on scheduled procedures.Contact patients and / or Physician office as needed for additional information.Utilize fax applications as appropriate and perform document imaging as required.Scan all authorizations into appropriate system under the respective patient accounts and document outcomes in the registration system.Perform all other duties as assigned.Required Qualifications:Req High school or equivalent Or GED required.Req 1 year Minimum 1 year of experience in a hospital, health plan or Physician office environment with the ability to submit authorizations for office visits and laboratory services, perform insurance verification, call patient to conduct pre-registration, facilitate self-pay estimates.Req Knowledge of business office procedures.Req Knowledge of medical terminology and coding.Req Knowledge of grammar, spelling, and punctuation to type patient information.Req Must be able to verify insurance and intermediate knowledge of both CPT codes and medical terminology.Req Must also be able to understand and interpret patient liability and benefits for HMOs and all payer types.Req Ability to read, understand, and follow oral, and written instructions and establish and maintain effective working relationships with patients, employees, and the public.Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills. Capable of working assigned shifts, overtime when approved.Req Capable of reading the policy and procedure manual and understanding information pertaining to specific job duties and the general information for all hospital employees.Preferred Qualifications:Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $19.00 – $29.77. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.Essential Duties:Outpatient Ancillary/Clinic Visit/Emergency Department coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.Assists in the correction of regulatory reports, such as OSHPD data, as requested.Attendance, punctuality, and professionalism in all HIM Coding and work related activities.Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.Recognizes education needs of based on monthly reviews and conducts self-improvement activities.Ability to act as a resource to coding and hospital staff on coding issues and questions.Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.Assist other coders in performance of duties including answering questions and providing guidance, as necessary.Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.Maintains AHIMA and or AAPC coding credential(s) specified in the job description.Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.Consistently attend and actively participate in the daily huddles.Consistently adhere to HIM policies and procedures as directed by HIM management.Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.Participates in continuously assessing and improving departmental performance.Ability to communicate changes to improve processes to the director, as needed.Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.Ability to communicate effectively intra-departmentally and inter-departmentally.Ability to communicate effectively with external customers.Provides timely follow-up with both written and verbal requests for information, including voice mail and email.Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core’ coding & abstracting software.Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC’Performs other duties as assigned.Required Qualifications:Req High school or equivalentReq Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific coding test – with a passing score of ≥70. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.Req Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required.Preferred Qualifications:Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred.Required Licenses/Certifications: Req Certified Coding Specialist – CCS (AHIMA) OR AHIMA Certified Coding Specialist – Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA)Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $33.00 – $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Provides radiology and back office support to a private practice clinic. Position may be supervised by the clinic director, member physicians and/or office manager.As an integral part of the Imaging services Team; the Radiologic Technologist provides support to the Department by performing diagnostic radiology procedures in a variety of clinical settings.Essential Duties:Performs and/or assists with radiographic and fluoroscopic procedures according to the department procedure manual. Procedures are planned and performed considering physiologic and developmental age.Review radiograph for proper positioning, technique, and identification.Demonstrates complete working knowledge of all radiographic equipment in the department and assigned clinical areas.Demonstrates correct anatomic positioning skills and uses markers appropriately.Adjusts technical factors in proportion to patient age and body part being examined while minimizing radiation.Processes digital imaging cassettes with proper identification and returns cassettes to proper location.Confirms patient identification by verbal communication, checks name and birthdate.Reviews doctors order to ensure proper exam protocol is followed and appropriate exam is performed.Recognizes emergency situations, indicates code and properly administer aid as appropriate.Records pertinent patient information and completes all paperwork as required and assists in maintaining files.Keeps x-ray rooms/work stations neat, orderly, and prepared, and assures exam room is stocked with necessary supplies. Assists with ordering and stockng department supplies and equipment.Willingly performs other related duties such as transporting patients, scheduling exams, assisting in file room as directed by Supervisor or Director.Required to participate in after hours standby and call back. Position requires the use of a pager while on duty and on standby.Exhibits organizational skills and utilizes time effectively.Accepts change as an opportunity for growth, learning, and development ; adapts to changing procedures and goals in a cooperative and positive manner.Assists in maintaining an atmosphere of cooperation with other departments, medical staff, and other employees.Acts as a mentor to and is a source of information for students and less experienced technologists.Acts as an ambassador of good will when interacting with other staff members and departments.Uses the chain of command appropriately to communicate any concerns with the department, co-workers, or medical staff.Responsible for work schedule hours including assigned weekend rotations, standby, and callback.Provides radiation protection to patients, staff, and self according to policy and standard.Always introduces self to patient and explains exam to be performed.Participates in regular rotation of weekend hours as required. Performs other duties as assigned.Required Qualifications:High school or equivalentSpecialized/technical training Graduation from an AMA approved school of Radiologic Technology, either college affiliated or hospital trained.1 year Minimum one year experience as a Radiology TechnologistAble to efficiently prioritize multiple high-priority tasksMust have excellent communication skills, including the ability to speak, read and write English proficiently.Must be comfortable with computers and medical terminology.Must have technical skills to operate radiography equipment and computers.Preferred Qualifications:Previous acute hospital experience desired either as a radiologic or student technologistRequired Licenses/Certifications: Certified Radiologic Technologist (CA DPH)Basic Life Support (BLS) Healthcare Provider from American Heart AssociationFire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)Registered Technologist – R.T. (ARRT) American Registry of Radiologic Technologists (ARRT) required; if none upon hired, must obtain within six (6) months from hire dateThe hourly rate range for this position is $39.00 – $63.95. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Coordinator is a Registered Nurse with recognized leadership abilities and sound clinical skills who will actively assist the Director of Perioperative Services in coordinating the day-to-day activities of the unit. The Coordinator takes a leading role in activities such as nursing performance improvement, job performance evaluations, staffing, scheduling and working with the directors in the orientation and training of new employeesEssential Duties:Understands & implements JACHO and Title 22 regulationsCoordinates daily OR schedule in collaboration with Chief of Anesthesia & OR ManagerCoordinates patient flow between Pre-op/ Surgery/OR and PACUMakes daily staffing assignments based on unit based competenciesPromotes professional growth within department including in-services/ preparation & presentationInterviews new candidates for employmentTabulates daily/end of pay period Kronos/payrollEnsures timeliness of staff credentials/licenses/Annual Health Assessment.Utilizes Samie Model for problem –solving and Performance Improvement within department.Assists OR Manager with completion of evaluations in a timely manner.Assists OR Manager with staff counseling as needed.Assists in orienting new staff & preparing preceptor assignments.Ensures that Infection Control practices are followed.Promotes positive role in leadership skills with staff.Positive patient advocate and change agent.Ensures that PI nurse completes reports quarterly for Quality Assurance.Performs other related duties as assigned.Required Qualifications:Bachelor’s degree Nursing Degree in Nursing2 years Operating Room experience immediately prior to applicationOrganization/time management skills.Demonstrate excellent customer service behavior.Preferred Qualifications:Certified Perioperative Registered Nurse – CNOR (AORN)Required Licenses/Certifications: Registered Nurse – RN (CA DCA)Basic Life Support (BLS) Healthcare Provider from American Heart AssociationFire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $53.00 – $87.45. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Physician Assistant (PA) II surgical specialist is a licensed health professional who practices medicine with the supervision of a physician as a surgical assist. In addition to being a surgical assist, the PA may also be involved in coordination of care, participates in education, and is closely engaged in clinical practice and patient care management. The PA will function as a leader within our professional team by communicating, planning, and implementing care directly and with other healthcare professionals, including but not limited to surgeons, surgical techs, pharmacists, office support staff, and other advanced practice providers. Duties include but not limited to: assisting in surgery, obtaining patient health histories and complete physical examinations, documenting findings noting pertinent normal and abnormal findings, ordering and interpreting appropriate diagnostic and laboratory tests, counseling patients on preventative care, and ordering medications. The PA may also be required to perform approved therapeutic or diagnostic procedures based upon patient’s clinical status and document patient preparation and response to procedure(s). The Physician Assistant Practice Agreement will govern PA practice. The PA role includes abiding by rules and regulations of medical staff and PA certifying and regulating bodies.Essential Duties:Essential DutiesAssists surgeon during surgical procedure. Perform first assistant surgical duties, including tissue retraction and suturing. May perform additional surgical duties/procedures based off specialty training and privileges approved by medical staff. (Accounts for at least 50% of Job Accountability)Obtains detailed and accurate medical histories from patients; generally, this is confirming data that has been received preoperatively. Performs appropriate physical examinations, delineates problems, and records the information.Develops and implements patient management plans, including the coordination of referrals to specialty and social services, the recording of progress notes and the provision of continuity of care in the preoperative and postoperative care period.Orders appropriate laboratory, diagnostic and radiographic studies along with indicated procedures. Orders therapies to include PT, OT, ST and Respiratory. Orders medications and consultations with other services and medications.Performs and / or interprets common laboratory, radiological, cardio graphic and other routine diagnostic procedures used to identify pathophysiological processes.May perform additional procedures in the clinic or hospital setting based off privileges approved by medical staffHelps preoperatively and postoperatively with care coordination of the patient.Provides continuity of care in the management of complex illnesses and injuries under the supervision of a physician.Instructs and counsels patients regarding compliance with prescribed therapeutic regimens, emotional problems of daily living, and health maintenance, especially in the postoperative period; this might also include members of the patient’s family in certain circumstances.Facilitates the referral of patients to other health and social service agencies when appropriate.Ensures billing for services rendered is completed and accurate.Acts as a mentor and/or preceptor to new/student physician assistants within the department or clinicHelp participate or lead quality initiatives, process improvement projects, or research within the department or clinicPerforms other duties as assignedRequired Qualifications:Specialized/technical training Graduate from an accredited Physician Assistant Program.3 years 3+ Years Experience RequiredCommitted to excellence in patient care and customer service.Demonstrates ability to effectively work with physicians, staff, and patients.Organization/time management skills.Excellent analytical, problem-solving, planning and evaluation skills.Preferred Qualifications:3 years 3+ Years Experience in Surgical Specialty PreferredRequire Licenses/Certifications: Physician Assistant – PA (CA DCA)Basic Life Support (BLS) Healthcare Provider from American Heart AssociationFire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)Advanced Cardiovascular Life Support (ACLS)National Commission on Certification of Physician Assistants (NCCPA)Drug Enforcement Administration Current Controlled Substance Course Certificate or obtain within 3 months of hire Drug Enforcement Agency (DEA) Certificate issued by the US Department of Justice for Schedule II-V controlled substances. The annual base salary range for this position is $158,080.00 – $260,832.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

As an integral part of the Endoscopy Services Team, the Endoscopy Technician II performs assistance duties during advanced endoscopic procedures (i.e. ERCP) under the supervision of the physician and the registered nurse; works collaboratively with the nursing staff, medical staff and all members of the health care team; demonstrates professionalism through communication, education and participation as a team member; and is responsible for the safe, quality care, and safety of patients who come under his/her care. The GI Endoscopy Tech II generally processes moderate to complex endoscopic equipment.Essential Duties:Maintains and disinfects all GI/Endoscopy equipment, scopes (includes reprocessing), and supplies in accordance to department policy, procedures, and standards.Effectively utilize procedure software, including inputting information in Endo-Pro system, distribute reports, and room/procedure utilization.Effectively utilize travel and stationary carts for Endoscopy ProceduresMaintains inventory control and ordering of needed suppliesPerform basic troubleshooting for monitors and equipment and reports defective equipment and equipment malfunctions appropriately/immediatelyMaintain established departmental policies, procedures, quality improvement, safety, environmental and infection control standardsAssists with patient preparation for procedure, including patient positioning and monitoringProvides proper set-up of equipment/supplies for Endoscopy procedureAssists Physician with specimen collection/biopsyAssists Physician and Registered Nurse as Circulator with providing required equipment during procedureTransports patients in a safe manner, with side rails up to ensure patient flow and safetyEffectively turns over procedure room in a timely manner and prepares for alternate Endoscopy procedures.Performs on call duties on rotation.Assists in providing orientation, training and continuing education for staff.Performs other related duties as assignedRequired Qualifications:High school or equivalentSpecialized/technical training Completion of a G.I./Endoscopy program and an accredited Surgical Technician program.2 years Previous GI Lab/Endoscopy experience.Ability to communicate effectively in English both verbally and in writing.Demonstrates ability to effectively work with physicians, staff, and patients.Preferred Qualifications: 1 year Advanced endoscopy ( i.e. ERCP) procedure experience.Required Licenses/Certifications: Basic Life Support (BLS) Healthcare Provider from American Heart AssociationSurgical Technologist – CST Valid Certified Surgical Tech (CST); OR Surgery-Certified Credential (TS-C) from CAAHEP; OR ABHES certificationFire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $26.39 – $44.88. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Lead Transplant Coordinator RN will play a crucial role within our transplant program, assisting the manager in the efficient and effective operations of the department. The primary responsibility will be to support the manager in overseeing the coordination of care for our transplant patients while maintaining a light patient load. The Lead Transplant Coordinator RN will work closely with the Transplant Manager to facilitate the smooth coordination of patient care from the initial referral to post-transplant follow-up. This includes assisting in developing workflows for patient evaluations, providing discharge planning support, and ensuring comprehensive documentation of patient records. The Lead Transplant Coordinator RN will collaborate with the Transplant Manager to develop and deliver educational programs and materials. By providing training to our team members, you will help enhance their understanding of transplant procedures and patient care, contributing to the continuous improvement of our services. The Lead Transplant Coordinator RN will actively participate in our process improvement initiatives. Together with the manager, you will identify areas for enhancement within the transplant program and implement strategies to optimize patient outcomes and streamline workflows. As a Lead Transplant Coordinator RN, you will have the opportunity to engage in collaborative, interdisciplinary research activities. Your contribution to research efforts will further our understanding of transplant patient care and support the advancement of medical knowledge in the field. The Transplant Manager will delegate the Lead Transplant Coordinator RN with specific departmental responsibilities. The Lead Transplant Coordinator RN will work closely with the manager to assist in supervising and guiding the team, ensuring the delivery of high-quality care and adherence to established nursing practice standards.Essential Duties:Independent coordination of outpatient care of the transplant patient by: • Participate in clinic visits and analyze diagnostic tests. • Monitor patient and family’s compliance with medical regimen. • Review laboratory and other pertinent data and initiate appropriate action including communication of findings with attending provider. • Identify patient care problems and intervene as appropriate.Coordinates donor procurement and recipient preparation by: • Maintaining waiting list with UNOS • Maintaining communications with transplant team members about the donor and recipient status • Coordinating admission process and preoperative preparation.Participates in the development of policies and procedures pertinent to the transplant program.Participates and develops appropriate educational programs, both formal and informal, for the end stage organ disease patient and family, the nursing staff and the medical staff.Serves as a resource person to all staff involved in the care of transplant patients and their families.Appropriately communicates to multidisciplinary team members all identified patient and family problems and assist with appropriate interventions as needed.Responsible for keeping abreast of regulatory Hospital, CMS, OPTN/UNOS policies, and ongoing clinical education in transplant and evidenced based research.Within their scope of practice independently facilitates the evaluation and listing process of the potential transplant patient. Works within the regulatory requirements of CMS and OPTN/UNOS.Maintains and upholds all Job Accountabilities for Transplant Coordinator I, RN role.Performs other duties as assigned.Required Qualifications:Bachelor’s degree Nursing Graduate from an accredited school of Nursing (BSN).4 years Clinical experience in transplant or organ donation.2 years Transplant Coordinator experienceStrong critical and strategic thinking, analytical and planning skills.Organization/time management skills.Excellent communication skills.Preferred Qualifications:1 year Experience in leadership roleRequired Licenses/Certifications: Registered Nurse – RN (CA Board of Registered Nursing)Basic Life Support (BLS) Healthcare Provider from American Heart AssociationFire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)Certified Clinical Transplant Coordinator – CCTC (ABTC) CCTC or CPTC required. If CPTC certified, must obtained CCTC within 3 years of hire.The annual base salary range for this position is $127,570.00 – $190,000.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

In accordance with current federal & state coding compliance regulations and guidelines, the ‘IP Coding Compliance Auditor” performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposes—including the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM scores. Performs 2nd level reviews of variables affecting MS-DRG and/or APR-DRG—such as—HACs, PSIs, Elixhauser Comorbidities, etc. Performs targeted/focused 2nd level reviews on Cloudmed & CCI external audit findings. Work with other stakeholders to performs targeted/focused 2nd level reviews per internal project requests by Revenue Cycle Depts.(i.e., PFS, Patient Access, Case management), CDI, Quality, Risks, physician providers/Medical Staff committees, C-Suite, etc. All assigned codes and DRG classifications must be supported by clinical documentation contained in the medical record, and must be in compliance with federal coding laws, rules, regulations, Official Coding Guidelines, and the AHA Coding Clinic, etc. Provide audit reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, HCAI/OSHPD data integrity, etc. Create, provide, and conduct education & training sessions/topics, based on audit findings, and assist the IP Coding Manager with the continued education of all inpatient Coders. Initiates appropriate CDI query engagements with Coders & CDI Specialists in order to acquire or clarify the necessary clinical documentation needed to facilitate accurate and complete coding, abstracting, and DRG assignments. Participate in responses to inquiries regarding coding and clinical documentation from Coders, CDI Specialists, and all other internal 7 external customers. Performs other HIM Coding Department duties as assigned by the HIM leadership team. Excellent written and oral communication skills are required, as well as effective human relations and leadership skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must possess the ability to: interact professionally and ethically with third parties including stakeholders, co-workers, and management; handle multiple tasks simultaneously. Provide clear, concise oral and written directives/communications; quickly assess situations and respond appropriately; handle special requests in a sensitive, professional manner. Demonstrates the ability to perform in-depth clinical & regulatory research Re: NCD, LCD, NCCI, Official Coding Guidelines, AHA Coding Clinic, CPT Assistant, etc. Ability to problem solve, prioritize and organize, follow directives with accuracy and precision.Essential Duties:CODING AUDITINGPerforms monthly internal coding audits to evaluate accuracy of coding staff to ensure a 95% coding accuracy rate.Develops monitoring/education plans for coding staff who do not meet the 95% accuracy rate.Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed.Ability to act as a resource to coding and hospital staff on coding issues and questions.Ability to achieve a 95% accuracy rate as determined by an annual external review of coding.ABSTRACTING AUDITINGPerforms monthly internal abstracting audits to evaluate accuracy of coding staff to ensure a 95% abstracting accuracy rate.Develops monitoring/education plans for coding staff who do not meet the 95% accuracy rate.Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed.Ability to act as a resource to coding staff on difficult coding issues.UNDER GENERAL SUPERVISION, RESPONSIBLE FOR:Inpatient coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.Assists in the correction of regulatory reports, such as OSHPD, as requested.Attendance, punctuality, and professionalism in all HIM Coding and work related activities.Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.CODING & ABSTRACTING ACCURACYAbility to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.Recognizes education needs of based on monthly reviews and conducts self-improvement activities.Ability to act as a resource to coding and hospital staff on coding issues and questions.CODING OPTIMIZATIONAbility to improve MS-DRG assignments related to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APR-DRG, SOI, and ROM assignments related to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APC/HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.TIMELINESS OF AUDITING/CODING & PRODUCTIVITYMaintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.Assist other coders in performance of duties including answering questions and providing guidance, as necessary.Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.CONTINUING EDUCATIONMaintains AHIMA and or AAPC coding credential(s) specified in the job description.Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.Consistently attend and actively participate in the daily huddles.POLICY & PROCEDURES; PERFORMANCE IMPROVEMENTConsistently adhere to HIM policies and procedures as directed by HIM management.Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.Participates in continuously assessing and improving departmental performance.Ability to communicate changes to improve processes to the director, as needed.Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).COMMUNICATIONWorks and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.Ability to communicate effectively intra-departmentally and inter-departmentally.Ability to communicate effectively with external customers.Provides timely follow-up with both written and verbal requests for information, including voice mail and email.Performs other duties as assigned.SYSTEMSWorking knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core’ coding & abstracting software.Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC’.Required Qualifications:Req High school or equivalentReq Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Must possess a thorough knowledge of ICD/DRG coding and/or CPT/HCPCS coding principles, and the recommended American Health Information Management Association (AHIMA) coding competencies.Req 10 years Experience in ICD coding and DRG validation audits of inpatient medical records in an acute care facility.Req Experience in using a computerized coding & abstracting database software and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC & 3M Coding & Reimbursement System (CRS)].Req Working knowledge of CPT, HCPCs and ICD9 coding principlesReq Organization/time management skills.Req Demonstrate excellent customer service behavior.Req Demonstrates excellent verbal and written communication skills.Req Able to function independently and as a member of a team.Preferred Qualifications: Required Licenses/Certifications: Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA) Successful completion of the hospital specific coding test – with a passing score of ≥90%. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $39.00 – $63.95. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.Essential Duties:Outpatient Ancillary/Clinic Visit/Emergency Department coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions.Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity.Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission.Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes.Assists in the correction of regulatory reports, such as OSHPD data, as requested.Attendance, punctuality, and professionalism in all HIM Coding and work related activities.Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion.Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s).Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s).Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting.Recognizes education needs of based on monthly reviews and conducts self-improvement activities.Ability to act as a resource to coding and hospital staff on coding issues and questions.Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions.Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort.Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service.Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service.Assist other coders in performance of duties including answering questions and providing guidance, as necessary.Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed.Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.Maintains AHIMA and or AAPC coding credential(s) specified in the job description.Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU).Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding.Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding.Consistently attend and actively participate in the daily huddles.Consistently adhere to HIM policies and procedures as directed by HIM management.Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed.Participates in continuously assessing and improving departmental performance.Ability to communicate changes to improve processes to the director, as needed.Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel.Ability to communicate effectively intra-departmentally and inter-departmentally.Ability to communicate effectively with external customers.Provides timely follow-up with both written and verbal requests for information, including voice mail and email.Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage.Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references.Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac.Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core’ coding & abstracting software.Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC’Performs other duties as assigned.Required Qualifications:Req High school or equivalentReq Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific coding test – with a passing score of ≥70. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.Req Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required.Preferred Qualifications:Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred.Required Licenses/Certifications: Req Certified Coding Specialist – CCS (AHIMA) OR AHIMA Certified Coding Specialist – Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA)Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The hourly rate range for this position is $33.00 – $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Data Analyst supports the department by providing departmental expertise in information management and analysis, consisting of metric tracking, developing targeted and timely reports, data entry, case analysis, and regular document/report generation. Inspects, cleans, transforms, models, and analyzes data with the goal of discovering useful information for process improvement, suggesting conclusions, and supporting decision-making for the department.The Business Data Analyst (Quality Improvement) supports new and established quality initiatives for the USC Care Medical Group and ambulatory clinics. Develops and manages analytical tools and/or programs for administrative, clinical, financial, and demographic data. Incumbent will serve as a subject matter expert in quality reform initiatives, particularly for the CMS Quality Payment Program (QPP), which involves researching and distilling state and federal law. This position will use research and analysis to help strategize USC Care’s engagement with quality reform improvement for enterprise leadership to achieve maximum effectiveness throughout the organization. The Business Data Analyst (Quality Improvement) identifies appropriate clinical data elements, maintains necessary databases, performs follow-up in order to maintain complete data repositories, maintains quality control of information, and assists in the creation of quality dashboards for clinical and non-clinical teams. Incumbent will assess, modify, and automate existing reports, audit tools, and programs to eliminate waste and improve overall efficiency in data collection. Develops summaries and designs effective visual displays to guide clinical and operational decision-making.). The candidate will possess strong teamwork skills and can be self-directed in assignments. Able to work with numerous and diverse personnel on complex projects and have an ability to explain analysis and data to varied audiences. Incumbent will exercise significant independent judgment on matters which will have a broad organizational and operational impact.Essential Duties:Ability to work independently to prioritize and organize work assignments and/or projects. Utilizes effective critical thinking, discretion decision-making, and communication skills.Will be a subject matter expert in quality reform initiatives, particularly the CMS Quality Payment Program (QPP), which involves researching state and federal law and strategizing USC Care’s engagement with quality reform improvement. Act as advisor and resource to staff for QPP.Use research and analysis to help strategize USC Care’s engagement with quality reform improvement for enterprise leadership to achieve maximum effectiveness throughout the organization. Interfaces with all levels of the organization, including senior leadership, on matters related to qualify reform improvement.Manage projects, including some or all the following as assigned: Plans projects with identified timelines/milestones and objectives/targets, aligning with allocated resources and organizational strategy. Consults with appropriate leadership and identified stakeholders on project implementation, ensuring all work is properly maintained and kept confidential when applicable. Controls project by maintaining alignment with organizational policies/procedures and regulatory compliance standards. Evaluates project by ensuring deliverables are on time, within budget, and at the required level of quality by tracking established process and outcome measures to targets.Identifies appropriate clinical data elements, maintains necessary databases, and performs follow up in order to maintain complete data repositories, maintain quality control of information, and assist in the creation of quality dashboards for clinical and non-clinical teams.Develops and manages analytical tools and/or programs for administrative, clinical, financial, and demographic data.Act as liaison among quality team, clinical departments, and IT, translating business processes into technical requirements.Promptly performs other related duties as assigned or requested. The university reserves the right to add or change duties at any time. Required Qualifications:Bachelor’s degree in a related fieldAdditional education can substitute for the qualifying experience1 year Experience in statistical analysis and project management.Proficient PC skills.Working knowledge of databases, spreadsheet, word processing, and statistical software programs.Knowledge of business (operational, clinical, and financial) statistics and data analyses techniques.Ability to manage and analyze data.Strong analytical thinking and problem-solving skills.Preferred Qualifications:Master’s degree In progress. (MBA,MHA,MPH,MS, etc)Experience in an academic medical centerExperience with QlikView or similar data analytics toolsRequired Licenses/Certifications: Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The annual base salary range for this position is $68,640.00 – $112,370.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.