Tenet Healthcare

Full-stack Engineer

• Work in an Agile environment to design, develop, and maintain multiple web-based applications running on-premises and in the cloud.
• Produce high-quality, efficient, coding standards-compliant, thoroughly tested application code and modules.
• Provide architectural guidance, input, and feedback for new applications and major enhancements of existing applications.
• Investigate, troubleshoot, and solve application defects in both test and production environments.
• Lead production deployments of the applications.
• Provide guidance and mentorship to junior application developers.
• Work closely with Business Partners/Product Owners to refine and estimate user stories for new application functionality.

Senior Engineer

Operations

• Lead the transformation of healthcare as the Regional Vice President (RVP) for Ambulatory Surgery Centers in New Jersey.
• Oversee operations, financial management, and strategic partnerships while creating a culture of safety delivering exceptional patient care.
• Drive case volume growth and EBITDA, while actively recruiting top surgeons and strengthening relationships with existing physician partners.
• Champion operational efficiency, improve patient outcomes, and implement strategies that drive long-term success across all centers.

Regional Vice President of Operations

Business Development Rep

• Responsible for planning and conducting in-person visits, predominantly focused on key stakeholders across community-based physician groups, post-acute care facilities, and/or non-Tenet acute care facilities throughout the defined market service area, in an effort to increase selection of hospital/market services.
• Evaluate and interpret current physician referral patterns and trends for market facilities’ service lines, ensuring understanding of market dynamics.
• Research portfolio of assigned providers to understand the decision making behind hospital selection. This information should inform provider engagement.
• Conduct face-to-face sales meetings with clients ensuring through understanding of the service line attributes, processes and outcomes to consumers.
• Complete follow-up meetings to ensure internal and external obstacles to growth and retention are identified and minimized.
• Communicate feedback from clients and partner with the appropriate market/hospital resources to resolve issues to better serve our patients and provider partners.
• Prepare and present sales reports, identifying trends, lessons learned, opportunities and areas for improvement to achieve market goals.
• Continuously modify and execute business development tactics to ensure optimal business outcomes, based on feedback from clients and facility leaders.
• Maintain latest knowledge of the health system, hospital and provider landscape, relevant to your specialization, in your defined market service area.
• Document all client engagement in a timely manner on a daily basis in the defined CRM tool, including outcomes and required follow-up.
• Support the implementation of key initiatives that require relevant network development, as directed by the Group Vice President and/or CSO.
• Perform all duties with consistently high ethical standards and strict adherence to company policies and procedures.

Business Development Associate

Medical Billing and Coding

• Assign ICD-10, CPT, HCPCS and modifiers codes from documentation
• Review and appropriately resolve pre-bill edits
• Review and appropriately resolve coding denials
• Meet or exceed productivity standards
• Meet or exceed accuracy rate of 95.5% in monthly internal audits
• Effectively present coding issues to internal team members, internal clients or external clients
• Deliver information in a one-on-one or small group format to peers
• Meet deadlines and complete assignments before monthly closing dates
• Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines
• Other duties as assigned

Coder III, Surgical

Bilingual

• Responsible for timely scheduling, provide callers with important information related to their appointment
• Verifies patient demographic, insurance information and secures payment of patients financial liability/performing collection efforts
• Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre-payment for future services
• Create a complete pre-registration account for an upcoming inpatient/surgical admission
• Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility

Scheduler Representative, Creole Bilingual Required

Collections

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment.
• Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
• An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.
• Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account.
• Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
• Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions.
• Access payer websites and discern pertinent data to resolve accounts.
• Utilize all available job aids provided for appropriateness in Patient Accounting processes.
• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account.
• Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
• Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities.
• Provide support for team members that may be absent or backlogged.
• Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.

Hospital Collections Representative

• Responsible for ensuring center operations meets USPI’s gold standard processes, practices and customer service levels
• Conduct comprehensive reviews, including stakeholder feedback, to prioritize and develop continuous improvement action plans by center
• Provide in-person training and education to facility staff to support consistent adoption of best practices
• Provide recommendations to regional and corporate leadership on performance improvement initiatives as well as resources which may be needed
• Demonstrate a commitment to quality, safety, compliance, and patient experience, aligned with USPI’s operating expectations

USPI Manager, Operations Excellence

• Ensuring center operations meets USPI’s gold standard processes
• Conducting comprehensive reviews including stakeholder feedback
• Developing continuous improvement action plans by center
• Providing in-person training and education to facility staff
• Recommending performance improvement initiatives to leadership
• Monitoring trends and communicating impact to stakeholders

• Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff.
• Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues.
• Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues.
• Participate in special audits and system administration as necessary.
• Perform diagnosis data submissions to Client, Vendors and internal Stakeholders
• Develop monthly productivity and revenue projections
• Responsible for chart assignment oversight and monitoring accounts on hold
• Prepare data collection reports for leadership
• Monitor diagnosis submission progress; Audit diagnosis submission files to ensure accuracy
• Review, analyze and oversight of prebill/post bill reviews and pending accounts
• Work to resolve workflow, systems and complex matters related to coding

Inpatient Coder Analyst

Analyst

• Analyzes the Contract Terms and Conditions in a timely manner and makes recommendations for new contract loads, formulates, and implements amendments and changes, and rollover contracts as part of the client audit, deviating from established procedures as necessary.
• Regularly exercises discretion in analyzing and identifying issues associated with reprice impact reports after communication log issue have been corrected and re-priced. Formulates and implements solutions to identified issues and is empowered to make exceptions when required to move issues to resolution.
• Independently audits and verifies post-contract changes.
• Collaborates with Client Managed Care and Med Assets Account Rep to ensure contract profiles are pricing accurately, per contract language.
• Reviews internal requests for assistance and executes work list/queries for newly opened communication logs. Documents affected accounts as required.
• Identifies alternative opportunities in contract interpretation and revenue routing through the analysis of issues and, acting as a subject matter expert, provides alternative recommendations to management and staff. Activation of plan ID’s in mainframe system and MedAssets complying with NIC standards. Request approvals from Managed Care for NCCI edits if stated in contract and forward to the appropriate parties for loading.
• Communicates with appropriate leadership to ensure discrepancies are resolved prior to close of month end.

Terms & Conditions Analyst

• Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations.
• Abides by the Standards of Ethical Coding as set forth by AHIMA.
• Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.
• Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures.
• Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution

Outpatient Coder II

Auditor

• Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record.
• Validates abstracted data elements that are integral to appropriate payment methodology.
• Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
• Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.
• Adheres to Standards of Ethical Coding (AHIMA).
• Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records.
• Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
• Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.

CRC/DRG Coding Auditor

Human Resources

• Supports various services within the HR Service Center, including onboarding, offboarding, employee referrals, PCNs, severance, employee records, transfers, contractor management, and LOA administration.
• Processes Personnel Change Notices “PCNs” timely with consistent accuracy. This includes new hires, status changes, and terminations. Maintains HRMS records and compiles reports from the database as needed.
• Assists department in carrying out various human resources programs, processes, and procedures for all company employees such as severance, LOA, etc.
• Handles new hire paperwork. Processes recruiting transactions such as background checks, drug screenings, and prepares new hire packets for distribution. Creates offer letters.
• Maintains the HR email box and 800 phone line, responding to inquiries and escalating as needed.

Human Resources Coordinator

Accounts Receivable

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
• Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
• Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions.
• Access payer websites and discern pertinent data to resolve accounts.
• Utilize all available job aids provided for appropriateness in Patient Accounting processes.
• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account.
• Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
• Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities.
• Provide support for team members that may be absent or backlogged.

Accounts Receivable Representative, Healthcare

Chief Operating Officer

• The Executive Director, Tenet Physician Resources (ED-TPR) reports directly to the Senior Director/CEO, Tenet Physician Resources in the respective market.
• The ED has responsibility for: coordinating with the local market unit and TPR leadership the strategy for the TPR service line/business unit, including developing a physician manpower strategy within their assigned market(s).
• Serve as a liaison and point of contact in initiating, managing, and finalizing physician employment transactions.
• Oversee all market operations for physician employed practices in given TPR service line/business unit and will conduct daily interactions in a way that demonstrates a positive organizational attitude and effectiveness, and models the organization’s Mission, Vision and Values.
• Manage the Associate Directors of Practice Operations and will oversee the activities in those market practices including physician human resources requirements, customer service, customer satisfaction, financial analysis, Meaningful Use attestations, business information systems, practice profile analysis and compliance with regulatory bodies.
• Manage physician practices to budgeted expectations; ensure practices are operating within Tenet compliance regulations; and ensure all physicians and leaders understand business aspects of their practice.
• Manage individual physician relationships maintaining balance between meeting pro-forma expectations and keeping the physician positive.
• Work with physician leadership to identify new lines of business, additional streams of revenue, and new methods to mitigate costs.
• Ensure regulatory compliance with agencies such as OSHA, CLIA, DHS and others as appropriate.

Senior Engineer

Regional Vice President of Operations

Business Development Associate

Coder III, Surgical

Scheduler Representative, Creole Bilingual Required

Hospital Collections Representative

USPI Manager, Operations Excellence

USPI Manager, Operations Excellence

Inpatient Coder Analyst

Terms & Conditions Analyst

Outpatient Coder II

CRC/DRG Coding Auditor

Human Resources Coordinator

Accounts Receivable Representative, Healthcare

Executive Director, Chief Operating Officer