Tenet Healthcare

Financial Planning and Analysis

• Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call
• Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
• Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
• If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number.
• Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre-payment for future services/performing collection efforts
• 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
• Other duties as assigned based on departmental needs

Financial Clearance Representative

Analyst

• The Analyst II will be responsible for driving medium to high complex projects and supporting operational initiatives with technology driven solutions as part of the Product Management team.
• They will create and document requirements to solve key business challenges, working both independently and cross functionally across IT and operational departments.
• They will conduct competitive research, analyze data, and define and work with other members on team to provide estimates for features as directed.
• This individual will create applicable technology user guides, provide status updates to respective stakeholders throughout the life cycle of the project, assisting in functional and integration testing, and post implementation monitoring.
• The successful candidate must demonstrate the ability to effectively translate and document operational needs into clear business requirements and manage day to day support of designated product portfolio under an agile environment in partnership with a development team.

IT Analyst II

Medical Billing and Coding

• Performs all assigned billing in a timely manner
• Communicates with the physician the documentation needed to complete job functions
• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code
• Updates patient record with patient’s current insurance, address and telephone numbers
• Identifies primary care doctor and referral source with contact information and documents it in the medical record
• Performs claims follow up and reviews with billing agent in a timely manner
• Protects patient confidentiality according to HIPAA guidelines
• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines
• Identifies and attends one course/conference per specialty, per year to continue education in the coding field
• Must have Ortho billing experience

Outpatient Coder

Account Manager

• Responsible for planning and conducting in-person visits, predominantly focused on key stakeholders at proceduralist physician offices to increase selection of centers to perform cases at.
• Evaluate and interpret current physician referral patterns and trends for market facilities’ service lines, ensuring understanding of market dynamics.
• Develop and gain support for business development strategies for target market and services, in collaboration with business development and operational leaders.
• Research assigned providers to understand the decision making behind facility selection and other ASC and / or hospital relationships the providers may have.
• Conduct face-to-face sales meetings with clients ensuring thorough understanding of the center’s attributes, specialty capabilities, processes as well as patient experience & safety outcomes.
• Complete follow-up meetings with physicians, practice managers etc. to ensure thorough understanding of the physicians’ desires, needs and obstacles to growth to increase potential case volumes at USPI centers.
• Communicate feedback from clients and partner with the appropriate facility resources to facilitate credentialing and onboarding of new physicians as well as resolve issues such that providers practice more at USPI centers.
• Prepare and present sales reports, measuring case volume growth, identifying trends, lessons learned, opportunities and areas for improvement to achieve facility and / or market goals.
• Continuously modify and execute business development tactics to ensure optimal business outcomes, based on feedback from providers and facility leaders.
• Maintain latest knowledge of the market hospital, ambulatory surgery and provider landscape, 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 service line expansion, extended hours, case cancellation recapture and other relevant initiatives, as directed by the Business Development and Operations Leadership.
• Perform all duties with consistently high ethical standards and strict adherence to company policies and procedures.

Partnership Manager

Medical writer

• Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures
• Completes initial medical records reviews of patient records within 24-48 hours of admission
• Evaluates documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness
• Formulates physician queries regarding missing, unclear, or conflicting health record documentation
• Collaborates with providers, case managers, nursing staff and ancillary staff regarding documentation
• Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues
• Assists with Provider education, rounding and communication regarding open queries for resolution
• Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding
• Assists in training department staff new to CDI
• Performs other duties as assigned.

ICU Clinical Documentation Registered Nurse, RN

Systems Engineer

• The Sr. Systems Engineer role is responsible for designing, implementing, and maintaining advanced IT systems, applications, and infrastructure that support business operations.
• The position emphasizes system performance, security, availability, and continuous improvement.
• Engineers provide advanced technical support, collaborate with cross‑functional teams and vendors, contribute to project delivery, maintain technical documentation, and mentor junior engineers.

Senior Systems Engineer

Auditor

• Perform regular audits of medical records, coding, and documentation to ensure accuracy and compliance with coding guidelines and regulations.
• Identify and investigate coding errors, inconsistencies, and potential compliance issues, and communicate findings to coding team members and healthcare providers.
• Collaborate with coding team members to provide education and training on coding guidelines, documentation requirements, and compliance regulations.
• Develop and implement corrective action plans to address identified coding errors, discrepancies, and compliance issues.
• Maintain comprehensive and accurate audit records, including documentation of audit findings, actions taken, and outcomes.
• Generate reports and metrics on coding accuracy, compliance rates, and audit results for management review.
• Stay updated on changes in coding guidelines, regulations, and industry trends through continuous education and participation in professional development activities.
• Provide support and guidance to coding team members in resolving complex coding scenarios and documentation queries.

Inpatient Coding Auditor

• Code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record 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

Physician Services Coder II – Radiology

Support Engineer

• Receive and respond to incoming tickets or e-mails regarding desktop and system questions, resolving problems in a timely and professional manner.
• In person or via remote connection diagnosis, and troubleshooting of complex desktop problems for end-users, and recommend and implement corrective solutions.
• Provide end-user support for Citrix, Microsoft Office, Adobe, Windows and in use EMR/Ambulatory systems.
• Ensure that desktops, laptops, monitors, network printers and network connections are setup and functioning properly.
• Enforce and subscribe to all standard operating procedures for acceptable use, HIPAA, and monitoring IT operations including ticketing procedures.
• Ensure compliance with all regulatory requirements and adherence to all procedures.
• Follow prescribed procedures for commissioning, decommissioning, and tracking equipment through inventory records.
• Maintain inventory of critical equipment for immediate emergency/replacement deployment minimizing impact to the user following standard operating procedure.
• Provide technical support on IT-related projects as requested; provide documentation of project activities, execute system testing, and provide client follow up where system changes are implemented.
• Assist in providing in-person or remote technology training for new employees.
• All other duties as assigned.

IT Support Technician

Director

• Provide operations oversight to hospital case management directors and staff.
• Manage the operations, lead implementation, education and monitoring of the Tenet Case Management program including case management model, processes and compliance policies.
• Collaborate the operations, lead implementation, education and monitoring of the Tenet process standards.
• Lead performance management process for Level of Care, Length of Stay and Clinical Denial prevention.
• Develop and implement comprehensive education plans to address annual and ongoing leadership and staff education needs as required.
• Lead projects, assess, implement, support and monitor development of action plans to improve the case management standard work as we work to enhance inpatient throughput.
• Work with group and market leadership and hospitals administrative teams including, CFOs, CNOs, Physician Advisors and CHROs to monitor and address case management services while achieving successful outcomes.
• WILL TRAVEL 50% EACH MONTH THROUGHOUT THE US. Motor Vehicle Record (MVR) will be conducted on finalist.

Director of Case Management

Administrative Assistant

• Manage Tenet political giving processes and data, including processing political contributions (utilizing the 360 platform, processing check requests, maintaining a ledger, and filing materials).
• Support Compliance vendor in filing periodic filings and ensure compliance with lobbying disclosure and PAC reporting requirements at state and federal levels (with support of external consultants and Law Department).
• Support and advance Tenet’s federal and state government relations and advocacy agenda, including tracking and managing federal and some state grassroots activities.
• Support annual budget process and regular budget developments to monitor spending and alignment with annual and monthly budget expectations.