Cardiovascular Technologist (CVT) Main Clinic Cath Lab (FT)

Position Summary:

Responsible for assisting all diagnostic and interventional cardiovascular radiological procedures in a timely manner. Performs procedures according to physicians orders in the patients chart or per prescription on outpatients. As a member of the care team, the CVT is responsible for working collaboratively with other members to assure the safe and accurate delivery of patient care. In addition, the CVT must be able and willing to cross-train into other appropriate modalities. Through following hospital policy/procedure is responsible for quality control, quality improvement and equipment maintenance.

Primary Duties:

Performs Cardiovascular Technologist procedures in a timely manner; documents required information and communicates to primary physician and direct care staff pertinent information.
Coordinates and assists the care of patients assigned in collaboration with physicians, nurses and allied health staff.
Evaluates patient condition to adequately perform procedure.
Informs and explains procedure to be performed to patient and what is expected in terms of his/her cooperation.
Provides comprehensive direct patient care and assures a safe and comforting environment.
Consults with other staff as necessary to meet the needs of the patient and family.
Ensures the necessary clinical equipment and supplies are available and are safely utilized.
Possesses the knowledge of growth and development of patients across the life span (i.e., neonatal, pediatric, adolescent, adult, geriatric).
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.
Staff/Unit Responsibilities:
Maintains current license and registration.
Uses resources in an efficient and cost effective manner.
Participates in peer review.
Participates in developing other staff and affiliating students.
Maintains and develops own professional competencies.
Maintains and promotes a team spirit through active cooperation and collaboration.
Assists in interdepartmental service coordination.
Actively participates in the Performance Improvement and Utilization Review programs.
Assumes a role in the maintenance of the patient-focused care delivery system.
Assists in the coordination of unit operations.
Assists in all aspects of care if the environment, such as dietary, housekeeping, infection control, and supply and equipment management.
Attends 80% of in-services and departmental meetings.
Helps provide staff to other areas of the hospital when needed.

Qualifications/Specifications:

Education: High school diploma or equivalent required. Continuing education in specialty area preferred.
Licensure/ Certification: Current Arkansas Department of Health Radiologic Technologist license and current American Registry of Radiological Technologists (ARRT) certification required. Registered Cardiovascular Technologist (RCVT) certification preferred. BLS and ACLS certification required prior to completion of orientation. Certification is to be renewed by recommended renewal date on certification card.
Experience: Minimum of one year of experience as a CVT preferred. Cath Lab experience strongly preferred.

Registered Nurse – Progressive Critical Care Unit (FTD)

Do you want to be appreciated daily? Our nurses are celebrated for being the heroes on the front line, an ever-ready advocate for patients. At Arkansas Heart Hospital, our nurses lead a patient-focused care model, setting us apart from any other healthcare provider, where we bring care back to the bedside ensuring the best outcomes for our patients. We are seeking a committed RN for our Progressive Critical Care Unit to join our team.

In the Progressive Critical Care Unit, our nurses play an integral role. Just as each of our patient’s characteristics are varied, we desire our nurses to be just as diverse. Utilizing each nurse at the top of their scope and experience levels, we have a variety of patient populations for you to choose from!

Consider working as a primary nurse caring for up to 4 patients that are pre and post cardiothoracic surgery patients alongside another nurse with support by unlicensed team member.

Or choose to work on a care team as the nurse leader with an LPN and unlicensed team member caring for up to 7 cardiac / medical lower-acuity patients.

Or choose to work where you are need most, leveraging your skill and expertise with a mixed patient acuity assignment of up to 4 patients, including cardiac / medical / surgical patients. This, also alongside another nurse and with support of an unlicensed team member.

Our patient focused care model makes it possible for nurses to choose the path that fits them best all while delivering the highest level of quality nursing care. Apply today for our RN Progressive Critical Care Unit opportunity.

What you will do in this role:

Assess patient condition, identifying and reporting any changes in patient status.
Perform procedures or other functions as ordered by the provider.
Document the administration of care in the patient medical record in a timely and thorough manner.
Perform the administration of prescribed medications and monitors effectiveness
Maintain a knowledge of medications, procedures, surgeries and equipment used in the care of cardiac / medical / surgical patients.

Arkansas Heart Hospital is the premiere cardiac hospital in the state of Arkansas. Our main campus is located in the heart of Little Rock, with clinics nearby in Little Rock and North Little Rock. We serve central Arkansas with cardiac care and a full range of cardiac services, ranging from surgical procedures to cardiology to electrophysiology at our Heart Rhythm Institute.

“World’s Best Hospitals”- 2019, 2020, 2021, 2022 – Newsweek
5-star hospital – CMS

Responsibilities

Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation
Interdisciplinary collaboration
Responding to life-saving situations, including providing advanced life cardiac support
Assisting providers with procedures, including moderate sedation
Administering wound care, medications, including intravenous fluids and titration of vasoactive continuous infusions
Management of critical care patient equipment, including ventilators, BIPAP, cardiac and hemodynamic monitoring, etc.
Care and Management of pre/post procedure/surgical patients, including cardiothoracic, vascular, general surgical and medical
Providing education and support to patients/caregivers
Supervision/delegation of duties to unlicensed assist personnel
Patient specimen testing and quality control under direction of the Laboratory
Documents findings and communicates effectively
Maintains patient confidentiality, standard precautions

Requirements

Education: Graduate of an accredited nursing program; BSN preferred but not required
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact
Experience: one year cardiac or critical care nursing (exception – New Graduate RN Residency Program)
BLS within 30 days of hire and prior to completion of clinical orientation
ACLS prior to completion of clinical orientation
Critical Care Registered Nurse (CCRN) preferred
Nurse Characteristics varying from advanced beginner to expert with the goal of promoting patient’s optimal outcome:
- Clinical Judgment – clinical reasoning
- Advocacy – ability to work on another’s behalf
- Caring Practices – compassionate, engaging
- Collaboration – works well with others
- Systems Thinking – global perspective for patient needs
- Response to diversity – sensitivity, appreciation
- Clinical inquiry – innovation through learning and evaluation of practice
- Facilitation of learning – for patient and caregivers, including validation of learning

Qualifications/Specifications

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.

Professional Coder – FT

Position Summary

The Certified Procedural Coding Specialist will read and interpret health record documentation to identify all diagnoses and procedures that affect the current inpatient/outpatient encounter visit; assess the adequacy of health record documentation; apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.

Work Schedule

Monday – Friday, 8-5 or as determined by supervisor

Primary Duties

Essential Functions:

Codes and abstracts all diagnoses and procedures from physicians’ dictation and according to ICD-10-CM and CPT-4/HCPCS.
Processes claims for secondary insurance companies and conducts research on any claims denied by insurance companies.
Initiates physician interaction when ambiguous or conflicting information is in the medical record.
Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment
To assist medical providers in using the appropriate ICD-10 code, check insurance status, bill insurance appropriately, fight denials, and reduce A/R.
Correctly performs routine billing and coding procedures in a timely and professional manner
Meets assigned deadlines and provide advance warning of problems
Works independently under the billing supervisor
Acts as a resource within the clinic to other staff members and patients
- Initiates physician interaction when ambiguous or conflicting information is in the medical record.
- Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment.
- Provides backup to other members of department as needed.
- Other assigned duties as directed by supervisor based on demonstrated competency

Qualifications/Specifications

· Education: High School diploma or equivalent required.

· Licensure/Certification: Certified Professional Coder (CPC) certification required or Certification required within 12 months of hire date.

· Experience: Minimum of one year experience in clinic or physician practice medical billing/insurance, medical records and/or coding using ICD-10 and CPT coding systems required.

Outpatient Hospital Coder – FT

Position Summary

Seeking a highly skilled and experienced Inpatient Hospital Coder to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) certification and a minimum of 1 year of Inpatient coding experience. The Hospital Coder will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

Essential Functions:

Identifies reviews and assigns complex ICD-10-CM/PCS codes, POA indicators and PSI indicators, surgical complications to report the MS-DRG most accurately and Severity of Illness/Risk of Morality.
Identifies reviews and assigns complex ICD-10-CM/PCS or CPT/HCPCS codes and abstracts clinical information from inpatient/outpatient types.
Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc.
Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology, and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG or APC assignment.
All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.
Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
Supports special studies in relation to coding and abstracting information according to policies and procedures.
Maintains knowledge and skills; reads current coding resources clinical information, videos, etc.
Meets or exceeds quality and productivity standards and established department benchmarks.
Performs other duties as assigned.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
Experience: Minimum of 1 year of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Inpatient Hospital Coder – FT

Position Summary

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

Essential Functions:

Identifies reviews and assigns complex ICD-10-CM/PCS codes, POA indicators and PSI indicators, surgical complications to report the MS-DRG most accurately and Severity of Illness/Risk of Morality.
Identifies reviews and assigns complex ICD-10-CM/PCS or CPT/HCPCS codes and abstracts clinical information from inpatient/outpatient types.
Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc.
Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology, and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG or APC assignment.
All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.
Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.
Supports special studies in relation to coding and abstracting information according to policies and procedures.
Maintains knowledge and skills; reads current coding resources clinical information, videos, etc.
Meets or exceeds quality and productivity standards and established department benchmarks.
Performs other duties as assigned.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) required.
Experience: Minimum of 1 year of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Revenue Integrity Coding Auditor – FT

Position Summary

Seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification and a minimum of 3 years of Inpatient and/or Outpatient coding experience. The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

The Revenue Integrity Coding Auditor will be responsible for the following key areas, including but not limited to:
Review Activities:

– Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches.

– Evaluate responses to Late Query submissions.

– Assess Besler Quality Recommendations.

– Examine coding issues related to Medical Necessity and other concerns.

– Investigate MS-DRG Denials.

– Conduct Coding Compliance Research.

– Perform RVU Analysis.

– Review high-risk cases such as Impella, TCAR, Aveir DR.

– Handle Rebill Requests.

– Address Discharge Not Final Billed Reports.

– Provide continued support for Charge review.

Collaboration:

– Work closely with Providers, Clinical, Coding, and CDI team members.

– Respond to coding questions and collaborate with CDI QA team on DRG reconciliation.

– Collaborate with the Director of HIM/Coding/Billing regarding coding quality and education recommendations.

Auditing and Reporting:

– Perform random and focus-selected medical records review for accurate coding and MS-DRG assignment.

– Summarize audit findings and provide feedback to the Director.

– Keep detailed records of audits, results, recommendations, and follow-up actions.

Training and Education:

– Assist in the training of new coding team members.

– Contribute to educational activities for all coding team members.

– Provide education to providers on coding updates, documentation standards, and summary reviews.

External Audits:

– Review and respond to third-party coding audits/reviews.

Benefits:

The successful candidate will contribute to the organization’s overall efficiency, resulting in benefits such as:

– Increased efficiency in coding processes.

– Lowering Days Not Final Billed (DNFB).

– Decreasing Accounts Receivable (AR) days.

– Providing research support for coding and RVU-related questions.

– Improving cash flow.

*Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications/Specifications

Education: High School diploma or equivalent required.
Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
Experience: Minimum of three years of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.

Exercise Physiologist- Strong Hearts Rehabilitation Clinic Russellville (FTD)

This position is for a Strong Hearts coach to join the cardiopulmonary rehab team at the Strong Hearts location in Russellville. The ideal candidate will be either an Exercise Physiologist or Registered Nurse with the ability to motivate and coach patients in their wellness journey. This is a FT outpatient position, M-F days.

No nights, weekends, holidays, or call. Our Strong Hearts program is one of the largest Cardiac Rehab programs in the country and is one of the only certified Intensive Cardiac Rehabs in the state. This is not your typical rehab center, our facilities are state-of-the-art and our team thrives on teamwork, fun, and helping patients meet their goals.

Primary Job Duties:

- Review patient health history in preparation for initial evaluation.
- Conduct initial evaluations and reassessments on all cardiac and pulmonary rehab patients.
- Interview patient to determine educational needs and establish functional treatment goals and plan for care.
- Collaborate with patient’s physician, nurse, and interdisciplinary team members as appropriate to coordinate plan of care and communicate patient status.
- Conduct sub-maximal fitness assessments and prescribe individualized exercise program.
- Utilize proper safety and infection control techniques according to departmental and hospital policy.
- Monitor vitals during exercise sessions, including ECG, blood pressure, pulse oximetry, and glucose.
- Treat patients as needed within department policies and procedures.
- Determine expected outcomes, set priorities, establish goals, and select appropriate interventions for clientele.
- Evaluate the effectiveness of the exercise prescription for the clientele.
- Evaluate patient objective/subjective response to exercise and modify treatment and plan of care as indicated in departmental policy.
- Maintain patient confidentiality according to HIPPA.
- Develop Home Exercise Program based on patient’s therapy session.
- Assume a leadership role in the maintenance of the patient-focused care delivery system at AHH Cardiac Rehab.
- Assure that patient supplies are available as needed to provide patient-focused care.
- Operate departmental equipment and unit monitors competently.
- Perform follow-up phone calls per departmental policy/procedures.
- Consult with each patient regarding Cardiac Rehab per provider orders.
- Provides tours of Strong Hearts Rehabilitation Clinic to new patients as needed.

Qualifications/Specifications

Education: Bachelor’s degree from an accredited college or university with major/minor course emphasis in Exercise Science or Exercise Physiology required. Master’s degree in Exercise Science or related field preferred.
Licensure/Certification: BLS certification required within 30 days of employment and prior to providing direct patient care. ACSM certification preferred. Certification is required to be renewed by recommended renewal date.
Professional Certification: ACSM Certified Clinical Exercise Physiologist or ACSM Registered Clinical Exercise Physiologist preferred.
Experience/Training: Minimum of one year of continuous experience in a telemetry or related cardiac type setting preferred.

Pharmacist – AHH (FT & PT available)

Position Summary:

Responsible for assisting with planning, organizing, directing, executing and evaluating all aspects of the pharmacy services for the hospital. Interprets and processes physicians orders, verifies drug information, focuses on continuous quality improvement activities, participates in discharge planning and performs non-distributive services, such as drug-level monitoring, that are established by policy. In the absence of the Director of Pharmacy, supervises pharmacy personnel to ensure an efficient workflow in a positive work environment.

Work Schedule:

Flexible schedule to cover all shifts and weekend activities with on-call participation.

Primary Duties:

Exercises appropriate clinical judgment in reviewing and evaluating patients drug therapy. Collaborates with medical and nursing staff to provide quality patient care.
Reviews, compounds and accurately dispenses pharmaceuticals and IV admixtures from a direct copy of the physicians original medication order.
Prepares, maintains, updates and monitors each patients medication profile as required. Charges and credits medication to patients.
Checks the work of supportive personnel and other pharmacy personnel for accuracy, proper labeling and adherence to pharmacy policy and procedure.
Dispenses and maintains appropriate records for all controlled substance medications and other medications in conformance with federal and state laws.
Oversees medication supplies, storage and utilization on assigned nursing units.
Assists in teaching, training and supervising pharmacy interns and technicians.
Addresses and resolves problems in a professional and ethical manner.
Assists the medical and nursing staff on all problems pertaining to medication orders or pharmacy policy and procedures. Promotes a positive and cooperative attitude in dealing with nurses, medical and other personnel and with the public.
Maintains professional knowledge by attending continuing education programs, by reading professional and technical journals and by participating in pharmacy-conducted in-service lectures.
Maintains a neat, clean and orderly department.

Qualification/Specifications:

Education: Bachelor of Science in Pharmacy required, Doctor of Pharmacy degree preferred.
Licensure/ Certification: Current pharmacists license issued by the Arkansas State Board of Pharmacy required.
Experience: None required. Hospital pharmacy experience preferred.

Counseling Nurse – RN or LPN – Keep the Beat Clinic (PTD)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an RN or LPN using the patient-focused care system and under the direction/supervision of the physician. In addition, responsible for scheduling, financially clearing, and pre-registering patients via telephone. This position is also main point of contact for physician referrals to the clinic. This position includes obtaining and entering demographic and insurance information. This employee will place daily calls to various insurance companies for authorization/notification and benefits verification purposes

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patient needs in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is available; actively participates in the admission process.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Reports abnormal conditions to the RN or physician in a timely manner.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principle of basic nutrition to patient care.
Provides basic emergency care.
Coordinates the booking and scheduling of patients for procedures/appointments
Serves as liaison with physician/facility, patient and families regarding patient care.
Performs other duties as directed by supervisor, based on demonstrated competency.
Maintains patient confidentiality.
Maintains universal precautions.
Medication administration

Qualifications/Specifications

Education: Graduate of an accredited RN or LPN program required.
Licensure/ Certification: Current state licensure as a Registered or Practical Nurse or licensure from a state within the Nursing Compact required. Current BLS at time of employment.
Experience: None required. Minimum of 6 months’ continuous RN or LPN experience preferred. IV experience strongly preferred.

Patient Account Specialist – Collections (FTD)

This position is responsible for processing billings on behalf of the patient and appropriate third-party payers, as well as researching billing issues and following up on outstanding claims. Serves as a liaison between patients, coordinating agencies and/or other third-party payers. Should be knowledgeable of all State, Local and Federal financial assistance/eligibility programs available, to include Medicaid (all programs), Medicare, SSI (Supplemental Security Income), Non-Documented Alien Medicaid eligibility and the hospitals internal charity care requirements. Should be proficient in billing and collections using an automated system and electronic claims processing. This position may also assist in revenue cycle initiatives. This position requires the ability to work with minimal supervision.

Primary Duties

Billing:

Reviews and processes inpatient and outpatient bills to patients and third-party payers on predetermined schedules.
Serves as liaison with third-party payers/agencies regarding billion (billing)/optimal reimbursement and any other billing/payment issues or questions.
Develops recommendations to maintain efficient and effective billing processes.
Maintains insurance company master list.
Serves as liaison to nursing, emergency room, patients, families and physician’s offices regarding insurance benefits.
Processes all monetary transactions in an appropriate manner and reports daily to supervisor.
Maintains accurate patient accounts including deductibles, co-payments, co-insurance, termination dates, effective dates, pending claims, etc.
Performs data input of accurate insurance information, company and plan information to patient account when necessary.
Is knowledgeable in reimbursement issues for Medicare, Medicaid, managed care and other third-party payers.
Handles billing inquiries over the telephone and in person.
Serves as liaison with third-party payers regarding benefit information and preauthorization procedures.
Monitors rejected claims, coordinates the research for the filing of appeals and/or reviews with third-party payers.
Processes past-due accounts with insurance balances, contacting third-party payers and/or patients as necessary to facilitate the timely payment of past-due charges.
Ensure all placements and activity remains reconciled with all agencies (HRG/Complete Care/MSCB/MDS) for all entities.
Ensure patient statements remain accurate and integrity of data is reconciled and any variances addressed in a timely manner.
Review status updates on a regular basis, as directed (weekly and monthly), to identify variances between organizations.

Other Business Office Duties:

Monitors MedAssets Chargemaster system on a daily basis and coordinates updates from ancillary departments when needed.
Keys daily updates in the HPF system to distribute payments and correspondence to the appropriate patient folders.
Performs follow-up of payments plans as assigned by supervisor.
Provides back up for admission/registration, and pre-certification benefits verification functions when necessary to ensure the functions are completed efficiently and timely.
Maintains patient files.
Maintains insurance logs as defined in policy.
Serves as back-up for self-pay accounts and collection functions.
Performs other duties as directed to provide the most efficient service to the hospital/clinic in a manner which supports the overall effectiveness of the department and the hospital/clinic.

Qualifications/Specifications

Education: High school diploma or equivalent required. Associate of Science preferred.
Licensure/Certification: None required.
Experience: Minimum of three years experience in medical insurance billing and/or claims processing/research required.