CentraState Healthcare System

Financial Planning and Analysis

• Support management in billing and collection of accounts receivable for inpatient and outpatient accounts
• Apply cash and perform reconciliation
• Resolve customer service issues
• Notify patients and/or guarantors of liabilities
• Verify insurance benefits
• Assist customers with billing questions
• Answer inbound calls for billing inquiries for all facilities
• Ensure insurance information is entered properly on accounts
• Process credit card payments
• Complete customer service forms for various customer service requests
• Complete weekly backlog
• Perform other related duties as assigned

Patient Financial Services Representative

Nurse

• Work with other healthcare professionals to treat patients with injuries, illnesses, or disabilities
• Monitor patients and administer medications
• Maintain accurate and complete healthcare records and reports, including vital signs and medical information
• Analyze rhythm device data and recognize the need for nursing interventions within the clinical context of the device clinic
• Monitor, report, and record symptoms or changes in patient conditions
• Assess, implement, plan, and evaluate patient nursing care plans with healthcare team members
• Consult with healthcare providers
• Educate patients
• Perform other related duties as assigned

Registered Nurse, Per Diem, Cardiac – Pacemaker ICD Center

Manager

• Communicate across Senior Leadership, Recruitment, Onboarding, Business Development, Operations, Marketing, and other parties involved in contracting
• Maintain detailed records of AMG physician contracts and related compensation arrangements
• Review and manage requests submitted through the Physician Contracting Database, IronClad
• Ensure IronClad requests contain accurate details and complete materials; coordinate completion with Operations or departments when needed
• Develop physician compensation plans or leverage standardized plans while ensuring equity across similarly trained and experienced physicians
• Conduct Fair Market Valuation on physician compensation models and confirm compliance with Fair Market Guidelines
• Compile accurate and complete materials for submission to the Atlantic Physician Compensation Committee
• Attend APCC meetings and provide guidance and insight to support decision-making
• Draft term sheets and employment contracts for new recruits and renewals
• Partner with Legal to review agreements before release to physicians
• Collaborate with Physician Recruitment to present term sheets and employment agreements
• Follow up with physicians regarding contract questions, requests, and negotiations
• Provide IronClad reports to Senior Leadership, Operations, and Business Development
• Monitor physician compensation trends and regulatory changes affecting employment and compensation practices
• Evaluate departmental processes and incorporate best practices into physician compensation and contracting processes
• Solicit feedback to improve departmental processes and protocols
• Perform other assigned duties

Physician Contracting Manager

Compliance

• Support the Director in leading and advancing the enterprise-wide drug diversion prevention program
• Oversee development, implementation, and continuous improvement of the drug diversion prevention program
• Serve as a subject matter expert in drug diversion prevention, controlled substance oversight, medication management, patient safety, and regulatory compliance
• Analyze and apply federal and state laws, regulations, accreditation standards, and agency guidance
• Assess regulatory changes, organizational impact, and risk mitigation strategies
• Conduct risk assessments and audits across hospitals, outpatient facilities, ambulatory sites, and physician practices
• Monitor and analyze data from automated dispensing systems, EHRs, drug diversion software, and other sources
• Conduct and co-lead suspected diversion investigations with Corporate Security, Human Resources, Pharmacy, Nursing, Medical Staff leadership, Infection Prevention, Legal/Risk Management, and other stakeholders
• Document investigations in accordance with organizational, legal, regulatory, and confidentiality requirements
• Provide compliance guidance on policies, procedures, controls, and monitoring activities
• Develop reports, dashboards, and KPIs to monitor program effectiveness and emerging risks
• Research industry best practices, regulatory trends, enforcement actions, and evidence-based approaches
• Develop and deliver education and awareness programs
• Evaluate and facilitate reporting to regulatory agencies, licensing boards, law enforcement, and other external entities when required
• Coordinate and facilitate Drug Diversion Committee meetings, including agendas, minutes, action tracking, and follow-up
• Collaborate with clinical and operational leaders to promote an enterprise-wide approach to diversion prevention, detection, investigation, reporting, and corrective action
• Perform other duties assigned by the Director

Drug Diversion Compliance Manager

Medical Billing and Coding

• Manage multiple EPIC work queues to ensure timely billing and resolution of all encounters within 2–3 days
• Monitor and audit coder performance, ensuring at least 95% coding and DRG accuracy
• Educate and mentor coding staff, including onboarding, daily coaching, and monthly team meetings
• Liaise with the Coding Division, CDI Program, physicians, and Revenue Integrity to improve documentation, query processes, and charge accuracy
• Conduct daily coding audits and review PSI, Vizient, and 3M data
• Oversee DRG validation and denial management, resolving coding disputes and supporting accurate reimbursement
• Apply national coding standards and metrics, including SOI/ROM, AHRQ PSI criteria, NTAP cases, and Medicare reimbursement systems
• Stay current on Medicare PPS changes, Coding Clinic guidance, SDOH coding, and COVID-related coding
• Drive process improvement initiatives with CDI, Quality, and ER leaders to enhance documentation, reduce denials, and improve national quality ratings
• Perform coding duties as needed to balance workload, reduce discharged-not-billed cases, and meet monthly performance goals

Lead Coding Specialist

Assistant

• Take and record TPR and report deviations from normal to the primary or Charge Nurse
• Obtain assigned specimens, such as urine, stool, and sputum
• Weigh patients and record weight
• Assist patients with activities of daily living, including bathing, dressing, ambulation, skin care, and meals
• Record oral intake and urinary output
• Perform assigned treatments, including changing simple dressings
• Communicate patients' needs and requests to the Charge Nurse or primary nurse
• Orient patients to the environment and develop rapport with patients, families, and significant others
• Assist with patient management, de-escalation, alternative activities, and patient containment, restraint, or seclusion under Registered Nurse direction
• Perform admission and unit searches as assigned, including belongings and same-gender patient visual searches
• Maintain clean patient and non-patient unit areas
• Prepare bedside units for new admissions
• Apply infection-control and workplace-safety principles
• Report significant unit problems to the Charge Nurse
• Prevent contraband introduction through property searches, unit rounds, and visitor monitoring
• Monitor visiting sessions as assigned
• Transport patients to and from designated areas
• Assist with therapeutic unit activities as directed by the Registered Nurse
• Ensure a safe unit environment through rounding, patient observation, and reporting issues
• Use the hospital computer system according to job responsibilities and hospital policy
• Participate in orientation of mental health assistants and unit committees
• Assist other personnel as necessary

Patient Financial Services Representative

Registered Nurse, Per Diem, Cardiac – Pacemaker ICD Center

Physician Contracting Manager

Drug Diversion Compliance Manager

Lead Coding Specialist

Mental Health Assistant