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Community Health Systems ("CHSPSC, LLC") is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 100 hospitals in 20 states, with an aggregate of approximately 21,000 licensed beds.
The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of inpatient medical and surgical services, outpatient treatment and skilled nursing care. In over 60 percent of the markets served, CHS-affiliated hospitals are the sole provider of healthcare services. CHSPSC, LLC seeks a PFS Manager for its Franklin, TN, headquarters PFS team.
The position will be corporate office-based and may require minimal travel Essential Duties and Responsibilities Oversee the DRG transfer project and Medicare 3 Day Payment Window project. Run reports to monitor and report results to CHS management and Divisions Monitor and QA DRG transfer project to ensure compliance adheres with CMS regulations Provide training and education as necessary Oversee PFS audit team, gathering results for reporting on facilities/SSCs for specific projects. Projects may include review of Government overpayments, Credit balance audits, POS audits, etc.
Assist with pulling and review of claims and reporting as required for other audits within CHS such as Compliance, HIIM, Internal Audit, Revenue management, etc.
Assist Sr Director with any other projects/audits as assigned
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. Knowledge of PFS revenue cycle.
Possess strong analytical skills. Must possess very strong organizational and written/verbal communication skills. Proficient computer skills including all Microsoft Office tools (Excel, Word, Access and PowerPoint). Must be able to work independently in a manner to achieve goals, objectives and productivity.
Experience with Med Host,and Meditech Health Information Systems is desired. Education and Experience: College degree preferred.
Minimum of three (3) years working in a hospital business office environment preferred. Previous management experience required