Tri Cities Remote jobs - 52 jobs

The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Handle a large call volume while ensuring quality customer service and patient satisfaction * issues not resolved during conversation with patient/guarantor * Ability to complete other related customer service duties as assigned SUPERVISORY RESPONSIBILITIES If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information. * Answer patient calls within the guidelines of call center metric objectives * Ensure appropriate HIPAA compliance guidelines * Adhere to work schedule and follow call center phone procedures * Maintain professionalism and confidentiality Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High School degree or equivalent required * At least 1 year experience in a medical customer service role preferred * Previous experience in a call center environment preferred * Proficiency in Microsoft Outlook, Excel and Word required * Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. N/A PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment TRAVEL * No travel required Compensation and Benefit Information Compensation * Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Spec, Application Support is tasked with the optimization and management of specified technology. This position will work closely with various vendors, ensuring the most up-to-date information and changes are evaluated for use and effectiveness in the process. Will work with the process team to determine what technology changes and needs are required to drive process improvements. Will own the development and follow through of any service requests or new implementations. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Stays current and has deep, ingrained knowledge of systems, including end user applications, reporting and enhancements. Can demonstrate full understanding of how the technology supports and is used within specific processes and brings technology driven ideas to the process team. * Reviews all ISB's for procedural impact. Edits and works with process leaders and trainers to develop procedural and training documentation. Clarifies system processes and responds to additional requests for information. * Works closely with peers to reduce redundancies and ensure there are no conflicts between multiple technologies within processes. * Ensures that Software Transfer Implementations are completed accurately and develops test plans. Meets user deadlines for system changes and other requested information. * Coordinates with IS to ensure that facility IS departments have the knowledge required to ensure the front-end system is set up appropriately. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. * Understands workflow and technology needs within the business. * Excellent grammar and writing skills * Must have good organizational skills * Able to work independently with little supervision * Able to communicate with all levels of management * Must have general computer skills and be proficient in Word, Excel, and PowerPoint * Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline. * Ability to work and coordinate with multiple parties * Ability to manage projects * Knowledge of AR management technology tools being utilized to deliver on key performance * Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers * Excellent verbal and written communication skills EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * 4-year college degree in Healthcare Administration, Business or related area or equivalent experience * 2 - 6 years of experience in Healthcare Administration or Business Office * Lean, Six Sigma or other process improvement certification is a plus PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in a sitting position, use computer and answer telephone WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation * Pay: $21.70 - $34.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-NO3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Responsibilities include but not limited to: * Sets, monitors, and maintains the project goals, objectives, limitations, resources, and defined stakeholders in a project charter for the governance of the project. * Perform overall project planning, management operationalization, and close out for key real estate projects - focused primarily on USPI projects but potentially assigned to Tenet or other related projects. * Team assembly (contractors, design firms, and consultants) by managing the process for qualifications, bidding process, contract review, and selection recommendation to leadership. * Direct the identification and sourcing of internal and external resources and stakeholders as needed for the project. * Assist with land acquisition and required entitlements on projects requiring this activity. * Create and maintain project artifacts, including project plans, project status reports, project issues and risks, change requests, requirements, designs, testing plans, communication plans, education materials and knowledge transfer documentation for multiple projects. * Manages and coordinates the activities of the project delivery team, develop, and maintain the detailed action logs and risk registers, lead the development of risk mitigation strategies for the project. * Ensure that issues and risks are properly escalated and resolved. * Direct and coordinate the planning and refinement of the project scope (resources, schedule, and financial estimate) * Supervise the preparation, development and management of the master program/project budget and schedule, manages the monthly updates. * Supervise team activities and manage the execution of the projects within the agreed upon scope, timeframe, and budget. * Initiate and conduct internal team status meetings, document risks and issues and communicate to the team. * Support the necessary business plan and financial pro forma updates required. * Identify out of scope activities and manage change requests. * Facilitate communication and coordination within the project team and other stakeholders. * Facilitate status meetings with Executives, advisory and/or steering committee members for escalation of risks and issues. * Contributes to projects life-cycle improvement through lessons learned, project archives etc. Qualifications: * Bachelor's degree in Architecture, Construction Management, Engineering, or a relevant field. * Ability to travel nationally up to 75% required. Selected candidates will be required to pass Motor Vehicle Record check. * PMP Certification or similar training preferred. * Ten or more years of clinical or other pertinent experience preferred. * In-depth knowledge of project management methodology, tools, and techniques for entire project life cycle and across all knowledge areas. * Presentation and executive communication experience. * Computer-literate with practical experience developing project work plans and related MS Office tools. * Good negotiation skills with an assertive approach. * Excellent multi-tasking and problem-solving skills. * Effective interviewing and meeting facilitation skills. * Able to define, collect and document complex business and technical requirements. * Comfortable in a high-volume, deadline-driven environment. * Strong attention to detail. * Highly adaptable. * Effective coaching and mentoring skills. * Consistent professional behavior in all activities. * Detailed understanding of the challenges, differences, and specialized tasks of a healthcare project vs projects in other industry sectors. Specialized tasks in addition to responsibilities above include the following: * Working with user groups to develop programming and planning. * Vendor award, management, coordination, and installation of specialized medical equipment * Coordination and oversight of site logistics, Infection Control Risk Assessment (ICRA), Interim Life Safety Measures (ILSM). * Oversight of the facility activation. * Oversight of Regulatory and other entitlements including Department of Health (DOH) Certificate of Need (CON) preparation and pre-occupancy survey in DOH states. * Detailed Understanding of the complex infrastructure and low voltage requirements of a healthcare facility and the impacts of working in such systems in an active facility. * General understanding of the trends and issues impacting the healthcare industry including specific knowledge of the healthcare industry divisions (outpatient, acute, post-acute and senior living) and facility differences and trends (patient centered care, sustainability, operational efficiency, departmental adjacencies, etc.). * Ability to engage and carry conversations with the local hospital leadership team, including C-Suite presentations and reporting. * Experience in developing and delivering communication plans and vehicles across multiple stakeholder groups (internal and external). * Ability to quickly understand and navigate the internal Tenet business units to align the efforts of key staff to the betterment of the effort. * Basic understanding of real estate structuring, real estate documents, key deal terms (levers). * Clinical healthcare experience with knowledge of ambulatory facility operations, operating rooms, and hospital experience. Professional Attributes: * Excellent written, verbal communication and interpersonal skills with the ability to work effectively at all levels of the organization. Strong communicator with polish, savvy, and poise. * Ability to make quality, independent decisions; based on strong analytical and problem-solving skills. * Strong service management and customer service focus. * Able to effectively present information and respond to questions from hospital and market management. Personal Attributes: * An individual of highest personal and professional integrity, principle, and knowledge, earning respect and support when making difficult decisions and choices. * A high-energy individual with a strong work ethic and high expectations for performance. A person who leads by example and sets strong professional and personal standards for every activity. * A self-directed person with a strong sense of urgency; however, someone who understands the importance of collegiality, cooperation, and team spirit. Working Conditions and Physical Requirements: * Mobility to move about various facility conditions and activities. * Office environment typical, but exposures to patient care areas. Compensation * Pay: $125,840-$160,000 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Manager Time Off - 20 days per year * Discretionary 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. * Accurately and productively code/abstract patient health documentation for Tenet facilities. * Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. * Assisting in coding quality reviews/audits and second level reviews as needed. * Attends Tenet coding educations and maintains coding credentials. Required: * High school graduate or equivalent is required * 1-3 years inpatient coding experience. * Skilled and working knowledge of MS Office suite. * Strong technical background and electronic medical record experience. * Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). Preferred: * Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. * 3+ years of inpatient coding experience. * Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

We are seeking an experienced Health Integration Engineer to join our team as a senior contributor and technical leader. The ideal candidate has a strong background in healthcare interoperability and has previously built and maintained integration solutions using InterSystems IRIS, HealthShare, Ensemble, or other healthcare integration engines. While IRIS experience is preferred, proven expertise with comparable platforms (Cloverleaf, Rhapsody, Mirth/NextGen, eGate, etc.) is fully acceptable. This role requires the ability to collaborate with business stakeholders and analysts to understand requirements, independently design integration patterns, and implement robust and maintainable solutions-with an emphasis on code-based development rather than BPL-driven design. As a senior engineer, the candidate will also mentor junior developers, contribute to team best practices, and proactively recommend technical improvements that elevate our integration capabilities. Responsibilities * Design, develop, test, and deploy healthcare integrations using InterSystems IRIS or other integration platforms. * Implement production components-business services, processes, and operations-primarily through code (ObjectScript, Embedded Python, or similar), minimizing reliance on BPL. * Interpret business and technical requirements and convert them into scalable, supportable integration designs. * Build message transformations, routing logic, and custom adapters as required. * Work with HL7 v2, FHIR, CCD/C-CDA, X12, and other healthcare data formats and transport protocols. * Collaborate closely with analysts, business teams, and external partners to clarify requirements and ensure successful solution delivery. * Troubleshoot issues using logs, message tracing, and integration engine tooling. * Provide mentorship, code reviews, and architectural guidance to junior team members. * Identify opportunities to improve team processes, tools, and integration standards; propose and lead technology-enhancing initiatives. * Adhere to organizational standards for security, reliability, testing, and documentation. Qualifications * 5+ years of hands-on healthcare integration experience. * Strong proficiency with at least one major healthcare integration engine; InterSystems IRIS/HealthShare/Ensemble experience is preferred. * Ability to develop integration components using code (ObjectScript, Python, Java, etc.), not only graphical tools. * Solid understanding of HL7 v2, FHIR, and common healthcare interoperability workflows. * Experience designing and implementing integration patterns (synchronous/asynchronous messaging, transformations, routing, error handling). * Strong problem-solving skills and ability to work independently with minimal oversight. * Experience mentoring peers or junior engineers. * Excellent written and verbal communication skills and the ability to engage effectively with both technical and non-technical audiences. * Familiarity with version control, CI/CD pipelines, and modern development practices is a plus. Preferred Skills * InterSystems IRIS production development experience (ObjectScript, Embedded Python, DTL, custom business services/operations). * REST/SOAP API integration experience. * Knowledge of cloud deployment environments and containerized integration workloads. * Exposure to healthcare standards such as IHE, OAuth-based security, or identity/access management in healthcare systems. Compensation * Pay: $89,440 - $143,104 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-NO3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Join Our Team! HealthCare is Better Together Hiring Event: Abrazo Scottsdale Campus- Cafeteria When: Thursday, January 29, 2026 3:30pm-5:30pm Please join us for a special evening at Abrazo Scottsdale Campus to explore exciting new career opportunities at Abrazo Scottsdale Campus and Cave Creek Campus. Meet with our dynamic team of professionals and understand Abrazo's focus on delivering quality care. Come meet and interview with our leaders, check out our amazing culture, and see why so many choose Abrazo. Complimentary appetizers and beverages will be served. Bring copies of your resume as interviews will be conducted at the event. Visit our Career Page at AbrazoHealth.com/careers to learn more about Abrazo Health, view current opportunities, and apply online. NOW HIRING for the following positions: RN Cardiac RN Charge Nurse Cardiac RN ICU RN Clinical Coordinator ICU RN Charge Cath Lab FT Days RN Cath Lab RN ER RN OR RN Quality Coordinator RN PreOp/PACU RN Infection Preventionist MRI Technologist Ultrasound Technologist CT Technologist Multimodality Technologist Nuclear Med Technologist Respiratory Therapist Echocardiography Technologist Lead Medical Lab Scientist (MLS) Medical Lab Tech II (MLT) Surgical Tech Join Our Team! HealthCare is Better Together Hiring Event: Abrazo Scottsdale Campus- Cafeteria When: Thursday, January 29, 2026 3:30pm-5:30pm Please join us for a special evening at Abrazo Scottsdale Campus to explore exciting new career opportunities at Abrazo Scottsdale Campus and Cave Creek Campus. Meet with our dynamic team of professionals and understand Abrazo's focus on delivering quality care. Come meet and interview with our leaders, check out our amazing culture, and see why so many choose Abrazo. Complimentary appetizers and beverages will be served. Bring copies of your resume as interviews will be conducted at the event. Visit our Career Page at AbrazoHealth.com/careers to learn more about Abrazo Health, view current opportunities, and apply online. NOW HIRING for the following positions: RN Cardiac RN Charge Nurse Cardiac RN ICU RN Clinical Coordinator ICU RN Charge Cath Lab FT Days RN Cath Lab RN ER RN OR RN Quality Coordinator RN PreOp/PACU RN Infection Preventionist MRI Technologist Ultrasound Technologist CT Technologist Multimodality Technologist Nuclear Med Technologist Respiratory Therapist Echocardiography Technologist Lead Medical Lab Scientist (MLS) Medical Lab Tech II (MLT) Surgical Tech

The Medical Office Coordinator is responsible for greeting patients, answering phones and scheduling appointments. The collection of accurate patient demographics, insurance verification, referral processing, and various other areas of data entry. Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies. Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments. High School Diploma/GED 5 years of experience in a Physician Practice preferred Completion of Medical Office Assistant program preferred Healthcare management/administration certification preferred EMR/EHR experience preferred, NextGen or Athena experience preferred Proficiency in a windows environment with a working knowledge of Word, Outlook, and the Internet is required Willingness to be flexible and adaptable in a complex, matrix environment Greeting patients, answering phones and scheduling appointments Collection of accurate patient demographics Answers telephones in a prompt and courteous manner Insurance verification Referral processing Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments Displays concern and provides assistance or explains procedures as appropriate to callers or in face-to-face situations Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner Manage, copy, and review medical records to ensure accuracy Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies

Tenet Healthcare has an immediate opening for a Manager, Hospital Regulatory and Accreditation to support the enterprise. This position will require a high percentage of nationwide travel. Manager, Regulatory and Accreditation is responsible for assessing, developing, educating, implementing, monitoring, and leading the Tenet Regulatory and Accreditation activities within the company. This includes preparation and survey readiness. The position develops and implements processes for current safe practices in Tenet. The Manager, Regulatory and Accreditation work closely with other corporate departments, groups, and facilities for collaboration and synergy around identified priorities. Develops, educates, implements, monitors, and leads, Tenet and USPI, regulatory requirements and accreditation standards, goals, and targets through collaboration with corporate departments and the Sr. Director, Regulatory and Accreditation Is a leader for the Clinical Operations Department in the formulation of Tenet and USPI regulatory and accreditation related goals and targets. Assists with the development of the Tenet and USPI strategy and tactics for regulatory and accreditation preparation and successful surveys Conducts on-site facility surveys Provides leadership and expertise in methods of performance improvement. Coordinates and collaborates with organizational leaders on activities related to the development, implementation, improvement of and adherence to the organization's policies and procedures covering the scope of regulatory requirements and accreditation standards Supports preparation for surveys (i.e., CMS, TJC, State,) Supports the formulation of responses [plans of correction] from surveyors, electronic communication, or third-party payers under the direction of the Sr. Director of Regulatory and Accreditation Remains current concerning industry-wide, leading practices Demonstrates ethical behavior in decision-making, performance of job responsibilities while maintaining confidentiality regarding patient information, quality, performance, and peer review information. Develops policies and procedures for areas of responsibility. Develops methods, tools, and other resources for regulatory and accreditation preparedness and sustainment. Develops and presents educational material to various audiences based on identified or trending regulatory and accreditation issues. Minimum education, training and background for the successful candidate include: Required: Registered Nurse with advanced degree in relevant field plus five years of regulatory, accreditation, and performance improvement experience or Advanced degree in a health-related field (Masters) with five years of relevant regulatory, accreditation, and performance improvement experience. A minimum of 75% national travel annually is a requirement. Selected candidate will be required to pass Motor Vehicle Record check and maintain valid driver's license. Experience leading interdisciplinary initiatives in process improvement and directly with improving reliability of healthcare delivery at the point of care. Functional knowledge of TJC, CMS COP's, and other federal and state requirements regulatory standards. Relevant experience in healthcare/clinical setting. Strong organizational, written, communication, and presentation skills. REQUIRED CERTIFICATION: Certified Joint Commission Professional (CJCP) or Certified Professional Healthcare Quality (CPHQ) within twelve months of hire date. SKILLS, KNOWLEDGE, AND ABILITIES: Skilled at developing and conducting educational presentations. Adept at developing methods, tools, reports, data aggregation and conducting regulatory and operational surveys for USPI facilities, including the review of regulatory requirements and accreditation standards and Conditions of Participation. Prepares written reports of clinical and operational survey findings. Skilled in developing corrective action plans, provide educational programs, monitor implementation of action plan and other oversight activities through follow-up visits to facilities as needed, and provide guidance on regulatory and accreditation communications as needed. Expert on regulatory requirements and accreditation standards, preparation activities, and success with surveys. Knowledgeable in the areas of peer review, risk management, patient safety, infection control prevention and reporting Polished communicator (written, verbal and presentation skills) with many levels of key stakeholders from the board level to the point of care staff. Expert with working, leading, following, coordinating, and managing activities to driving change within Tenet/USPI to achieve strategic initiatives for clinical/operational initiatives related to regulatory and accreditation. PRIMARY INFORMATION, TOOLS AND SYSTEMS USED: PC based Word and Excel spreadsheet programs Industry publications as they relate to Quality and other areas, as applicable, such as Safety, Risk Management, etc. Electronic Health Record eSRM (Risk Management System) Balanced Score Card / Clinical Operations Scorecard SharePoint AMP with Tracers Compensation Pay: $114,192-$165,000 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Manager Time Off - 20 days per year Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-JR1

may qualify for a sign-on bonus. Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures. Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic technology. Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience Required Certification: BLS Required Licensure: TDH (MRT), NMTCB FLSA Status: Salary Grade: Skills: ** Note - Required certifications are to be completed by 3 months of employment. #LI-NS1

Responsible for providing direct support to internal and subcontracted external legal resources engaged in the collection and recovery of managed care and/or Worker's Compensation claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Acts as liaison between the Business Office, Legal Department and outside counsel regarding outstanding litigation (ie.Venders) * Coordinates legal analysis for denied, underpaid and unpaid managed care accounts for legal referral; Compiles records and documentation for internal and external attorneys such as process documentation, copies of original contracts, etc to be used in litigation. * Reviews all existing documentation including but not limited to UB, IB, Explanation of Benefits (EOB), and Managed Care Contracts to verify claim balance calculation; ensures integrity in supporting documentation. * Works with Legal Department to file bankruptcy notifications on payers. May file liens on auto accident patients to state interest in claim. * Verifies in system that accounts have been adjudicated correctly once settled. If needed, adjust accounts per Legal request. * Works required reports (daily, weekly, monthly) to ensure legal payer issues are referred in a timely manner. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Intermediate writing skills * Intermediate Microsoft Word and Excel skills * Intermediate analytical and math skills * Ability to coordinate accounts and record detailed information * Ability to research and work independently * Ability to work in high volume environment at a fast pace * Ability to communicate in a professional manner Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High school diploma or equivalent * Some college helpful * 3-5 years experience in medical billing, collections, appeals, legal department and/or contract interpretation PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit at a computer terminal for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Call-center environment with multiple workstations in close proximity As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Regional Corporate Coding Supervisor (Remote based in US) Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas. Required: Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems. The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital. Must have above average general office and computer skills. Associate degree in HIM related field RHIT Certification 5+ Years Coding Experience Preferred: Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization. Bachelor's Degree in HIM Related field RHIA Certification 2+ Years of Leadership Experience Compensation Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM2

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Outpatient Coding Manager - Pediatrics/Primary Care Manages the Coding Section of Health Information Management (HIM) and functions as a resource and facilitator for all areas of hospital coding operations. Assures compliance with CMS, AMA and AHIMA standards for ethical coding, The Joint Commission Standards, Medical Staff Bylaws, Rules and Regulations, State and Federal Guidelines and department/organizational policies and procedures. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Plans, organizes, and supervises the work and systems of one or more of the following Health Information Management programs: * In Patient, Observation, Day Surgery, Emergency Department and Outpatient Coding * Post discharge physician queries * 3M Encoder processes * Coding Compliance Plan * Dissemination of coding changes and updates * Identification of coder educational needs through continual monitoring and auditing of coder accuracy * Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder. * Monitor and report individual coder productivity. Coach and counsel under performers. * Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC. * Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement. * Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician. * Monitor the coding compliance manual. Monitor industry publications and implement changes as necessary. * Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance. * Attend meetings within and outside the facility as needed r requested to provide input and act as a coding information resource. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): * Provides input regarding departmental budget specific to area of responsibility. * Directly impacts days not final billed (DNFB), overall A/R and monthly revenue collection. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports (incl. titles) Inpatient and Outpatient Coders Coding Analyst Coding Supervisor KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Computer training: HBOC Star; 3M Coding & Reimbursement software; SoftMed Systems; MS OFFICE; Horizon Patient Folder; Groupwise; DVI Dictation System; External Transcription Agency Systems * Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations * State and federal regulations regarding patient confidentiality * Excellent verbal/written communication and interpersonal skills * Thorough/detailed knowledge of ICD-10-CM, ICD-10-PCS and CPT coding systems * Skilled in formulating and writing statistical reports * Skilled in performing quality assessment/analysis * Must display strong interpersonal skills * Works collaboratively with CDI, quality, and other facility leaders Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Associate Degree in Health Science Administration/HIM Technology, minimum * Bachelor's degree, preferred * Registered Health Information Technician (RHIT) certification * Registered Health Information Administrator (RHIA) certification * Minimum three years supervision of coding staff, required * Five years of progressive management experience CERTIFICATES, LICENSES, REGISTRATIONS * Required: RHIA, RHIT, CCS, CCA, CCS-P, and/or CPC-H PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Duties may require bending, twisting and lifting of materials up to 25 lbs. * Duties may require driving an automobile to off- site locations. * Ability to sit for extended periods of time. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Work environment is at a moderate noise level. * Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. * Works in a private office space in the coder's home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Duties may require travel via, plane, care, train, bus, and taxicab. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Hours: Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $49.700 - $64.130 - $71.820 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. *This is a remote position* What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit compliance program to prevent and detect violations of law and other misconduct. This role will help promote ethical practices and a commitment to compliance with applicable federal, California, and local laws, rules, regulations, and internal policies and procedures. The position plays a key role in oversight of Sharp HealthCare's (SHC) compliance audit function and maintaining Sharp HealthCare's view of coding, billing and reimbursement compliance audits. Required Qualifications 5 Years experience in acute care inpatient/outpatient coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. Preferred Qualifications Other : Strong background in in ICD-10-CM/PCS coding, DRG coding and CPT coding classification. Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED Certified Health Care Compliance (CHC) - Compliance Certification Board -PREFERRED Other Qualification Requirements Bachelor's degree in Business, Healthcare Administration, or related field - required. In lieu of Bachelor's degree, Associate's degree and a minimum of 5 years experience in coding, billing and compliance may be considered. One of the following is required: AHIMA's Certified Coding Specialist (CCS), or Certified Documentation Improvement Practitioner (CDIP), or AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification. Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire. Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. Essential Functions Coding Compliance Compliance Coding and Billing Audits The Compliance Coding Auditor has the primary responsibility of performing all audits and chart reviews required for inpatient and/or outpatient coding and billing, daily retrospective chart reviews and communication to key stakeholders regarding audit findings and corrective actions, if necessary. Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written reports of audits, including recommendations to improve compliance. The Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG Work plan, CMS, PEPPER Reports, RAC Denials, industry experts, etc. Policy and Procedure maintenance Works in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in accordance with state and federal laws, regulations and policies. Professional development Maintain current credentials and knowledge of ICD-10-CM/PCS, MS-DRG, CPT and HCPCs coding classification changes, compliance issues and updates regarding changes in federal and state regulations, policies and procedures pertaining to the Compliance Program. Adheres to a personal plan of professional development and growth through professional affiliations, activities and continuing education. Unit support Key Stakeholder/Business Unit Support Responsible for inpatient and/or outpatient coding and billing investigations and inquiries, as well as answering correspondence from key stake holders regarding inpatient and/or outpatient coding and billing matters and other general Compliance reimbursement inquiries. Will continuously evaluate the quality of clinical documentation and monitor the appropriateness of queries with the overall goal of improving physician documentation and achieve accurate coding. Maintain professional relationship with key stakeholders focusing on high level of client satisfaction. Must demonstrate excellent written and oral communication presentation skills in training SHC workforce and physicians. Professional competency Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire. Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. Knowledge, Skills, and Abilities Ability to perform independent research and factual analysis of coding and billing matters and create proposed solutions to root causes. Computer proficiency with Microsoft office applications is required. Ability to function within a fast-paced, dynamic, and growing environment. Excellent time management and problem solving skills. Must demonstrate analytical ability, motivation, initiative, and resourcefulness. Teamwork and flexibility required. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. 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 more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up 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 * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * 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. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High school diploma or equivalent education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment * Ability to sit and work at a computer for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Under minimal supervision, performs basic to complex diagnostic radiographic procedures, as requested by a licensed physician. Exercises professional judgment in providing health care services, applying x-ray energy, to assist in diagnosis or treatment of patients in all age groups from newborn to elderly. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Education Required: Graduate of accredited Imaging Program Preferred: Associate degree Experience Preferred: 1-3 years Certifications Required: ARRT or registry eligible; must have ARRT within one year post graduation; BLS, state license if required #LI-RF1 Produces high quality diagnostic radiographs, rotates through advanced areas of diagnostic radiology to include OR, Urography, open reductions, myelography, arthrography, placements, and trauma; assists practitioner with fluoroscopy, arthrography, OR procedures and trauma.

Oversees professional staff responsible for managing, coordinating, and implementing Charge Description Master ("CDM") and charge capture initiatives and processes to ensure revenue management and revenue protection. Serving in a senior leadership capacity, has direct interaction and interface with internal and external executive level staff. Facilitates CDM and charge capture education; ensures adherence to government/non-government regulatory directives; ensures appropriate levels of control are established to satisfy audit/review requirements; and facilitates revenue management communications and information flow. Oversees maintenance of accurate and timely patient accounting system(s) changes/updates to sustain data integrity and to facilitate claims processing; ensures quality reviews occur to identify and minimize system errors. Plans revenue management strategies as identified in data/report analyses to ensure consistency/standardization, to identify improvement opportunities, and to facilitate appropriate knowledge transfer. Plans, prepares, and administers annual budget; develops and maintains budgetary controls; balances department needs with Conifer annual budget goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Serves as a resource and in a consultative role to various levels of customers; works closely and collaboratively with other internal departments. * Manages a professional team to evaluate, review, plan, implement, and report various revenue management strategies to ensure CDM integrity; to identify charge capture improvement opportunities; resolve billing edits and to facilitate appropriate education. * Evaluates and maintains workflow processes to ensure efficiencies; works with all personnel involved in the revenue cycle to optimize CDM interfaces, billing edit resolution and charge capture processes. * Researches, evaluates, and interprets guidance from a variety of sources to determine department and/or facility impact and to ensure optimal revenue management; continually reviews and monitors billing and coding changes affecting CDM and charge capture processes to ensure accurate claims production, appropriate distribution of information, and to identify target areas for education. * Provides incident management and problem resolution; views incidents and problems from a systemic perspective to determine enterprise-wide solutions; oversees implementation of recommendations and monitors results to prevent recurrence; investigates complex issues as required. * Manages/oversees special projects and special studies as required for new clients, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, or other projects including, but not limited to: * Oversees pricing initiatives such as strategic pricing, across-the-board increases, tiered pricing, pricing transparency; conducts interim pricing reviews and performs financial analyses for strategic initiatives. * Manages implementation of CDM and/or charge capture corrective measures and monitoring tools to ensure sustainability of changes; reviews and monitors statistics and key performance indicators to identify improvement opportunities and ensure compliance with regulatory/non-regulatory directives. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): * This position may be required to monitor and explain expense variances to budget on a regular basis SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. * No. Direct Reports (incl. titles) Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to respond in a professional manner to complex inquiries from various levels of personnel * Accepts personal responsibility for the quality and timeliness of his/her work; establishes due dates for projects and assignments and meets those dates; efficiently organizes activities * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Adapts easily to changing conditions and work responsibilities; works well with people of vastly differing levels, styles, and preferences * Understands external and internal drivers affecting revenue management * Ability to read, review, analyze, and interpret a variety of state/federal regulatory information and managed care contracts and the affect on appropriate claims production including multiple patient accounting systems, clinical/order entry systems, ancillary systems, and CDM * Ability to utilize and research various published resources, appropriate reference materials, Internet resources, seminars, and other associated information sources to continually stay abreast of changes in regulatory information * Working knowledge in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; related experience may be considered in lieu of degree * Prior supervisory experience required * Minimum of five years healthcare-related experience required * Working knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Prior CDM or charge capture experience required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination across United Surgical Partners International (USPI) Hospitals. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case-by-case basis. This position integrates national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention Coordination with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient Compliance with state and federal regulatory requirements, TJC accreditation standards and USPI policy Education provided to payers, physicians, hospital/office staff and ancillary departments related to covered services and administration of benefits Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review Preparing and documenting appeal letters based on industry accepted criteria. REQUIREMENTS Required: 5 years of acute hospital or behavioral health patient care experience with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM). Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Procedures). Patient Accounting experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction with facility Case Management, Physician Advisor, and Revenue Cycle Team is a requirement. May require travel up to 25% travel across USPI hospitals. The selected candidate will be required to pass a Motor Vehicle Records check. Compensation Pay: $70,096-$112,112 annually. Compensation depends on location, qualifications, and experience. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D, and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. RESPONSIBILITIES Clinical Denials/Appeals Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review. Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc.). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appellate process. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual , as evidenced by Inter-rater reliability studies and other QA audits. Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, etc. Utilization Management Balances clinical and financial requirements and resources in advocating for patient needs with judicious resource management Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes Completes and sends admission and concurrent reviews for payers with an authorization process identifies and documents Avoidable Days using the data to address opportunities for improvement Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay and discharge) compared to evidence-based practice, internal and external requirements. Payer Authorization Assures the patient is in the appropriate status and level of care based on Medical Necessity and submits case for Secondary Physician review per USPI policy Ensures timely communication and documentation of clinical data to payers to support admission, level of care, length of stay and authorization Advocates for the patient and hospital with payers to secure appropriate payment for services rendered Prevents denials and disputes by communicating with payers and documenting relevant information Manages payer dispute processes utilizing secondary review, peer to peer and payer type changes Education Ensures and provides education to physicians and the healthcare team relevant to the: Effective progression of care, Appropriate level of care, and Safe and timely patient transition Provides healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options Compliance Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and USPI policies Operates within the RN scope of practice as defined by state licensing regulations Remains current with USPI Case Management practices Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to lift 15-20lbs Ability to travel approximately 25% of the time; either to facility sites, headquarters or other designated sites Ability to sit and work at a computer for a prolonged period conducting medical necessity reviews and appeal letters

Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, * Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. * Follow specific payer guidelines for appeals submission * Escalate exhausted appeal efforts for resolution * Work payer projects as directed * Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments. * Perform research and makes determination of corrective actions and takes appropriate steps to code the DCM system and route account appropriately. * Escalate denial or payment variance trends to NIC leadership team for payor escalation. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements * Intermediate knowledge of hospital billing form requirements (UB-04) * Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology * Intermediate Microsoft Office (Word, Excel) skills * Advanced business letter writing skills to include correct use of grammar and punctuation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High School Diploma or equivalent, some college coursework preferred * 3 - 5 years experience in a hospital business environment performing billing and/or collections PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Call Center environment with multiple workstations in close proximity As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********