Covenant Health

Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. Position Summary: Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization’s management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards. Works independently under limited supervision. Reports to the Compliance Audit Manager....

Covenant Health in Knoxville, TN seeks a Compliance Auditor Sr. who will lead complex internal auditing efforts, ensuring compliance with billing and coding regulations. You will evaluate risk areas and document audit findings while mentoring department staff. A successful candidate will have a deep understanding of healthcare billing, at least five years of experience in the healthcare sector, and relevant certifications. The position demands skills in problem-solving and public relations in a fast-paced environment. #J-18808-Ljbffr

Covenant Health in Knoxville, TN is looking for a Compliance Auditor to perform internal audits and ensure compliance with coding and billing regulations. The ideal candidate will have 3-5 years of healthcare experience, expertise in billing compliance, and possess the necessary certifications like RHIT or RN License. Employment offers a full-time role with a day shift schedule and competitive pay. #J-18808-Ljbffr

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee’s top-performing healthcare network with 10hospitals and over 85outpatient and specialtyservices,andCovenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. Position Summary: Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization’s management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards....

Covenant Health is seeking a Revenue Integrity Auditor to conduct audits related to compliance in billing, coding, and documentation. The ideal candidate will have 3-5 years of healthcare experience, strong knowledge of Medicare/Medicaid guidelines, and excellent analytical and problem-solving skills. Key responsibilities include auditing internal processes, communicating findings to management, and providing consultancy services. A clinical license in Tennessee or equivalent experience is preferred. This full-time position offers a focused day shift to enhance compliance and efficiency within the organization. #J-18808-Ljbffr

Covenant Health - - Responsibilities: Review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Analyze rejections/denials to determine root-cause and best course of action to resolve account issues; Provide guidance to other departmental roles regarding plan eligibility, claims processing details, and patient balance explanations; Prepare and submit payor reconsiderations and appeals

Covenant Health - - Responsibilities: Provides clerical and administrative support for the billing team; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate; Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues; Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements