St. Luke's University Health Network
Allentown, Pennsylvania
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement. Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues. May participate in review of other medical necessity issues as needed. Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc. Draft appeal letters, including the coding argument, to support network coding. Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues. Participate as needed in Administrative Law Judge (ALJ) hearings. Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment. Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews. Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment. PHYSICAL/SENSORY DEMANDS: Sitting, standing and light lifting. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range. Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment. Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required. TRAINING, KNOWLEDGE AND EXPERIENCE: Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology required. Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred. Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity. Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
04/01/2026
Full time
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement. Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues. May participate in review of other medical necessity issues as needed. Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc. Draft appeal letters, including the coding argument, to support network coding. Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues. Participate as needed in Administrative Law Judge (ALJ) hearings. Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment. Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews. Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment. PHYSICAL/SENSORY DEMANDS: Sitting, standing and light lifting. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range. Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment. Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required. TRAINING, KNOWLEDGE AND EXPERIENCE: Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology required. Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred. Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity. Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
St. Luke's University Health Network
Allentown, Pennsylvania
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. REVISED: 7/04, 8/11, 2/13, 9/13, 2/14, 1/17 AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only. Home base out of Allentown, PA. Full Time: Day shift with flexible hours. Mon-Fri with weekend rotation every 3rd week. Per Diem: Total shift flexibility. Must be able to commit to working at minimum 16 hours per month . Codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes into Network's health information system. Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow of information. The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process. The following materials will be needed in order to complete the assessment: INPATIENT - ICD-10-CM & PCS codebooks; OUTPATIENT - ICD-10-CM and CPT-4 codebooks. Please plan your time accordingly. JOB DUTIES AND RESPONSIBILITIES: ESSENTIAL FUNCTIONS: 1. Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment. 2. Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews. 3. Maintains daily productivity and turnaround times as outlined in Department's Performance Improvement plan (attachment A) 4. Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines. Maintains a working knowledge of prospective payment systems as it relates directly to coding process. 5. Participation in department and sectional meetings, education sessional sessions and workshops as scheduled. 6. Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only). 7. Demonstrates/models the Network's core values and customer service behaviors in interactions with all customers (internal and external). 8. Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information. 9. Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements. 10. Demonstrates/models the Network's Service Excellence Standards of Performance in interactions with all customers (internal and external). 11. Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety. 12. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices. 13. Complies with Network and departmental policies regarding attendance and dress code. OTHER FUNCTIONS: 1. Assists in training of new personnel 2. Other related duties as assigned. PHYSICIAL AND SENSORY REQUIREMENTS PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing and coding computerized patient records approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy POTENTIAL ON-THE-JOB RISKS: No identified risks. SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-10-CM/PCS coding conventions and AMA CPT-4 guidelines. Appropriately assign diagnosis and procedure codes for accurate reimbursement. Understanding computerized health information system and encoding software systems. SUPERVISION (Received and/or Given): IP and OP coding coordinators COMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers. Advises respective coordinators of issues requiring immediate attention. ADDITIONAL REQUIREMENTS: Adheres to the confidentiality guidelines as outlined within the Hospital and departmental policies. Promotes positive customer satisfaction by way of prompt and courteous service. QUALIFICATIONS (MINIMUM) EDUCATION: RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired. Will consider candidate with greater than 3 years experience in the coding field without coding credentials. Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St. Luke's University Health Network. TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions required. Previous experience with EPIC health information computerized patient record and 3M encoding system preferred. AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only. Home base out of Allentown, PA. Full Time: Day shift with flexible hours. Mon-Fri with weekend rotation every 3rd week. Per Diem: Total shift flexibility. Must be able to commit to working at minimum 16 hours per month . Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
04/01/2026
Full time
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. REVISED: 7/04, 8/11, 2/13, 9/13, 2/14, 1/17 AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only. Home base out of Allentown, PA. Full Time: Day shift with flexible hours. Mon-Fri with weekend rotation every 3rd week. Per Diem: Total shift flexibility. Must be able to commit to working at minimum 16 hours per month . Codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes into Network's health information system. Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow of information. The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process. The following materials will be needed in order to complete the assessment: INPATIENT - ICD-10-CM & PCS codebooks; OUTPATIENT - ICD-10-CM and CPT-4 codebooks. Please plan your time accordingly. JOB DUTIES AND RESPONSIBILITIES: ESSENTIAL FUNCTIONS: 1. Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment. 2. Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews. 3. Maintains daily productivity and turnaround times as outlined in Department's Performance Improvement plan (attachment A) 4. Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines. Maintains a working knowledge of prospective payment systems as it relates directly to coding process. 5. Participation in department and sectional meetings, education sessional sessions and workshops as scheduled. 6. Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only). 7. Demonstrates/models the Network's core values and customer service behaviors in interactions with all customers (internal and external). 8. Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information. 9. Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements. 10. Demonstrates/models the Network's Service Excellence Standards of Performance in interactions with all customers (internal and external). 11. Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety. 12. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices. 13. Complies with Network and departmental policies regarding attendance and dress code. OTHER FUNCTIONS: 1. Assists in training of new personnel 2. Other related duties as assigned. PHYSICIAL AND SENSORY REQUIREMENTS PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing and coding computerized patient records approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy POTENTIAL ON-THE-JOB RISKS: No identified risks. SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A MOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-10-CM/PCS coding conventions and AMA CPT-4 guidelines. Appropriately assign diagnosis and procedure codes for accurate reimbursement. Understanding computerized health information system and encoding software systems. SUPERVISION (Received and/or Given): IP and OP coding coordinators COMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers. Advises respective coordinators of issues requiring immediate attention. ADDITIONAL REQUIREMENTS: Adheres to the confidentiality guidelines as outlined within the Hospital and departmental policies. Promotes positive customer satisfaction by way of prompt and courteous service. QUALIFICATIONS (MINIMUM) EDUCATION: RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired. Will consider candidate with greater than 3 years experience in the coding field without coding credentials. Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St. Luke's University Health Network. TRAINING AND EXPERIENCE: Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions required. Previous experience with EPIC health information computerized patient record and 3M encoding system preferred. AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED WORK SCHEDULE: Fully remote for local (PA, NJ) candidates only. Home base out of Allentown, PA. Full Time: Day shift with flexible hours. Mon-Fri with weekend rotation every 3rd week. Per Diem: Total shift flexibility. Must be able to commit to working at minimum 16 hours per month . Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
St. Luke's University Health Network
Allentown, Pennsylvania
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Assistant is responsible for providing clerical support for the Denials Management Program. Supports the RAC/MAC and Commercial denials appeal process by maintaining good documentation in the appropriate systems and good communication between the Physician Advisor Director, Denials Management Manager, and Denials Management Team members in order to facilitate appeal letter responses throughout all levels of determination. JOB DUTIES AND RESPONSIBILITIES: Coordinate all activities associated with Commercial Insurance and RAC/MAC requests and appeals inclusive of, but not limited to: Completion of appropriate forms and face letters Obtaining signature from Denials Management Manager Compiling appeal packets Processing of packets via certified mail Responsible for tracking hand-off of appeal information among departments and notifying both the Denials Management Manager and the PA Director regarding timelines. Responsible for tracking Commercial Insurance and RAC/MAC timelines for requests and RAC/MAC and Commercial Insurance response. Communicate with all external entities involved in the Commercial Insurance and RAC/MAC process, if applicable. Coordinate scheduling of ALJ level appeals with PA Director's administrative assistant. Documentation of activity and outcomes in designated computer systems. Maintain open communication between Denials Management Manager, Physician Advisor, Case Management Director, along with other associated departments. Data abstraction and entry related to all levels of Commercial Insurance and RAC/MAC appeals and Denials Management Program outcomes. Assists in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist, and turn objects weighing up to 75 pounds. Occasionally stoops, bends, squats, kneels, and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies, and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: Associate Degree in Business or Secretarial Field preferred, or High School Diploma with courses in Medical Terminology preferred. TRAINING AND EXPERIENCE: Three to five years related health care experience. Proficiency in Microsoft Word/Windows, Excel, and the ability to learn how to work in multiple computer software systems. Ability to enter data and manage data base with 100% accuracy. Ability to work within strict deadlines. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
04/01/2026
Full time
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Assistant is responsible for providing clerical support for the Denials Management Program. Supports the RAC/MAC and Commercial denials appeal process by maintaining good documentation in the appropriate systems and good communication between the Physician Advisor Director, Denials Management Manager, and Denials Management Team members in order to facilitate appeal letter responses throughout all levels of determination. JOB DUTIES AND RESPONSIBILITIES: Coordinate all activities associated with Commercial Insurance and RAC/MAC requests and appeals inclusive of, but not limited to: Completion of appropriate forms and face letters Obtaining signature from Denials Management Manager Compiling appeal packets Processing of packets via certified mail Responsible for tracking hand-off of appeal information among departments and notifying both the Denials Management Manager and the PA Director regarding timelines. Responsible for tracking Commercial Insurance and RAC/MAC timelines for requests and RAC/MAC and Commercial Insurance response. Communicate with all external entities involved in the Commercial Insurance and RAC/MAC process, if applicable. Coordinate scheduling of ALJ level appeals with PA Director's administrative assistant. Documentation of activity and outcomes in designated computer systems. Maintain open communication between Denials Management Manager, Physician Advisor, Case Management Director, along with other associated departments. Data abstraction and entry related to all levels of Commercial Insurance and RAC/MAC appeals and Denials Management Program outcomes. Assists in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist, and turn objects weighing up to 75 pounds. Occasionally stoops, bends, squats, kneels, and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies, and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: Associate Degree in Business or Secretarial Field preferred, or High School Diploma with courses in Medical Terminology preferred. TRAINING AND EXPERIENCE: Three to five years related health care experience. Proficiency in Microsoft Word/Windows, Excel, and the ability to learn how to work in multiple computer software systems. Ability to enter data and manage data base with 100% accuracy. Ability to work within strict deadlines. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
St. Luke's University Health Network
Allentown, Pennsylvania
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. HOURS: Mon-Fri, 8- 4, with flexibility. Workday and Epic Revenue Reconciliation experience, both in HB & PB preferred. Workday Finance experience preferred. Remote or Hybrid Remote is available, after training, at the manager's discretion, for local (NJ, PA based) candidates. The Senior Financial Systems Analyst position is responsible for assisting in developing, maintaining and reconciling (dollars and statistics) the Network's general ledger and report writer. JOB DUTIES AND RESPONSIBILITIES: Assist in maintaining the Network general ledger and Report Writer for structure and consistency. Assist in the general ledger system upgrade implementation. Provide training to users regarding system upgrades. EPIC to Accounting Center to Workday Testing Maintenance/New Entity Testing of Interface from EPIC to Workday. EPIC System to Workday Revenue Reconciliation (Daily/Monthly). Coordinate and post to the General Ledger the monthly statistics received from the EPIC Team and Analysts/Hospital personnel. Reconcile Workday HCM payroll hours posted to Workday general ledger on a pay period basis, working with Payroll to clear defaults Prepare/Load Statistical information for Budget/Financial Forecasting. Utilizes various information systems to develop and analyze financial reports. Assists in development of accounting policies and procedures. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to 7 hours per day, 3 hours at a time. Continuously uses fingers and hands for typing, data entry, etc. Uses upper extremities to lift up to 30 pounds. Frequently stoops, bends, and reaches above shoulder level. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision, near vision and peripheral vision. Visual monotony when reading reports and reviewing computer screen. EDUCATION: Bachelors degree required. TRAINING AND EXPERIENCE: Minimum 5 years of experience in working with integrated financial accounting systems and financial statement preparation required. Experience in accounting in a multi-entity organization environment. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
04/01/2026
Full time
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. HOURS: Mon-Fri, 8- 4, with flexibility. Workday and Epic Revenue Reconciliation experience, both in HB & PB preferred. Workday Finance experience preferred. Remote or Hybrid Remote is available, after training, at the manager's discretion, for local (NJ, PA based) candidates. The Senior Financial Systems Analyst position is responsible for assisting in developing, maintaining and reconciling (dollars and statistics) the Network's general ledger and report writer. JOB DUTIES AND RESPONSIBILITIES: Assist in maintaining the Network general ledger and Report Writer for structure and consistency. Assist in the general ledger system upgrade implementation. Provide training to users regarding system upgrades. EPIC to Accounting Center to Workday Testing Maintenance/New Entity Testing of Interface from EPIC to Workday. EPIC System to Workday Revenue Reconciliation (Daily/Monthly). Coordinate and post to the General Ledger the monthly statistics received from the EPIC Team and Analysts/Hospital personnel. Reconcile Workday HCM payroll hours posted to Workday general ledger on a pay period basis, working with Payroll to clear defaults Prepare/Load Statistical information for Budget/Financial Forecasting. Utilizes various information systems to develop and analyze financial reports. Assists in development of accounting policies and procedures. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to 7 hours per day, 3 hours at a time. Continuously uses fingers and hands for typing, data entry, etc. Uses upper extremities to lift up to 30 pounds. Frequently stoops, bends, and reaches above shoulder level. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision, near vision and peripheral vision. Visual monotony when reading reports and reviewing computer screen. EDUCATION: Bachelors degree required. TRAINING AND EXPERIENCE: Minimum 5 years of experience in working with integrated financial accounting systems and financial statement preparation required. Experience in accounting in a multi-entity organization environment. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
St. Luke's University Health Network
Allentown, Pennsylvania
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Workforce Management Analyst will play a key role in maintaining and improving the workforce of the Access Center and its capabilities by effectively managing FTE supply to meet the business needs and service standards. This position will provide forecasting, capacity planning, staff scheduling, activity management, adherence, schedule optimization, and real time management of the Access Center. This role serves as a subject matter expert on workforce management tools and platforms and is responsible for the planning and optimization of workforce capacity. JOB DUTIES AND RESPONSIBILITIES: Analyzes historical work levels, Access Center arrival patterns and performance to generate forecasts for Access Center operational teams. Compares forecasts with actual results to identify variances, scheduling gaps and offers solutions to close them. Plans capacity and identifies changes needed to meet service-standard targets (via hiring, training, attrition). Leverages workforce management software to effectively plan resources, optimize staffing and shift staffing needs, while planning for variability in volume delivery. Coordinates implementation of workforce planning capabilities to onboard new functions to the Access Center in collaboration with key stakeholders. Analyzes Patient Engagement Partner availability, generates schedules, and manages schedule changes (i.e., shifts, training, vacation, meeting, overtime, off-line work, exceptions,) to ensure that daily service standards are met. Optimizes staffing on a weekly basis to best meet volume patterns and improve efficiency of operations. Performs root cause analysis for operational and business review and planning. Facilitates recurring meetings with Management Engineering, Finance and Leadership teams aligning on volume and headcount forecast. Other duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to 7 hours per day, 4 hours at a time; standing for up to 7 hours per day, 4 hours at a time; walking for up to 2 hours a day, 1 hour at a time. Requires hand and finger dexterity to perform repairs of small equipment and to use computer equipment. Seeing as it relates to general, near, color and peripheral vision. Hearing as it relates to normal and telephone conversations. EDUCATION: High School Diploma required. Associate or bachelor's degree preferred. Competencies required: Strong communication skills Focused on compliance Demonstrates continuous growth Quality-driven Service-oriented Excels at time management Demonstrated strong analytical skills TRAINING AND EXPERIENCE: Minimum two years of experience in workforce management required. Competency in Microsoft office software required. Minimum of three or more years of relevant experience working in a contact center preferred. Previous Calabrio experience preferred. Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.
04/01/2026
Full time
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Workforce Management Analyst will play a key role in maintaining and improving the workforce of the Access Center and its capabilities by effectively managing FTE supply to meet the business needs and service standards. This position will provide forecasting, capacity planning, staff scheduling, activity management, adherence, schedule optimization, and real time management of the Access Center. This role serves as a subject matter expert on workforce management tools and platforms and is responsible for the planning and optimization of workforce capacity. JOB DUTIES AND RESPONSIBILITIES: Analyzes historical work levels, Access Center arrival patterns and performance to generate forecasts for Access Center operational teams. Compares forecasts with actual results to identify variances, scheduling gaps and offers solutions to close them. Plans capacity and identifies changes needed to meet service-standard targets (via hiring, training, attrition). Leverages workforce management software to effectively plan resources, optimize staffing and shift staffing needs, while planning for variability in volume delivery. Coordinates implementation of workforce planning capabilities to onboard new functions to the Access Center in collaboration with key stakeholders. Analyzes Patient Engagement Partner availability, generates schedules, and manages schedule changes (i.e., shifts, training, vacation, meeting, overtime, off-line work, exceptions,) to ensure that daily service standards are met. Optimizes staffing on a weekly basis to best meet volume patterns and improve efficiency of operations. Performs root cause analysis for operational and business review and planning. Facilitates recurring meetings with Management Engineering, Finance and Leadership teams aligning on volume and headcount forecast. Other duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to 7 hours per day, 4 hours at a time; standing for up to 7 hours per day, 4 hours at a time; walking for up to 2 hours a day, 1 hour at a time. Requires hand and finger dexterity to perform repairs of small equipment and to use computer equipment. Seeing as it relates to general, near, color and peripheral vision. Hearing as it relates to normal and telephone conversations. EDUCATION: High School Diploma required. Associate or bachelor's degree preferred. Competencies required: Strong communication skills Focused on compliance Demonstrates continuous growth Quality-driven Service-oriented Excels at time management Demonstrated strong analytical skills TRAINING AND EXPERIENCE: Minimum two years of experience in workforce management required. Competency in Microsoft office software required. Minimum of three or more years of relevant experience working in a contact center preferred. Previous Calabrio experience preferred. Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's St. Luke's University Health Network is an Equal Opportunity Employer.