Description

Bass, Berry & Sims is seeking an experienced paralegal to support our healthcare regulatory and litigation teams on Certificate of Need (CON), administrative, reimbursement, audit, and related healthcare matters. This is a fast-paced role for someone with experience managing complex healthcare regulatory matters and administrative proceedings who can work independently and support multiple attorneys and clients.

We represent hospitals, health systems, physician groups, and other healthcare providers in Certificate of Need (CON) proceedings, administrative and regulatory matters, reimbursement disputes, licensing and operational issues, government and commercial payor audit activity—including UPIC, TPE, SMRC, RAC, Medicare Advantage RADV, and other government contractor audits—and related litigation before state agencies, administrative tribunals, and courts.

Responsibilities:

• Support Certificate of Need (CON) applications, contested case proceedings, and other healthcare regulatory and administrative matters.
• Manage intake, tracking, and response coordination for high-volume audit requests from UPICs, SMRCs, OIG, TPEs, RACs, and Medicare Advantage RADV auditors and in False Claims Act investigations and litigation
• Build and maintain audit tracking systems across multiple concurrent client matters — deadlines, document production status, appeal levels, and outstanding requests
• Compile, organize, and Bates-stamp medical records, billing records, and supporting documentation in response to audit requests and subpoenas
• Draft chronologies, audit response summaries, and first-draft correspondence to CMS contractors, OIG, payor Special Investigations Units and other government agencies
• Support appeals through the Medicare administrative appeals process (redetermination, reconsideration, ALJ hearing, Medicare Appeals Council)
• Coordinate with clients' compliance and health information management departments to gather records under tight turnaround windows
• Cite-check and proof briefs, motions, and administrative appeal submissions
• Maintain privilege logs and manage document review workflows in litigation support platforms
• Assist attorneys with deposition and hearing preparation, including exhibit organization

Requirements

Requirements:

• 3+ years of paralegal experience in healthcare fraud, compliance, litigation or program integrity audit work — law firm, health system compliance department, MAC/UPIC contractor, or government agency experience all considered
• Direct, hands-on familiarity with the Medicare/Medicaid audit and appeals landscape: UPIC, SMRC, OIG, RAC, TPE and MA RADV processes
• Experience managing large-scale, high-volume document productions under rolling deadlines
• Working knowledge of HIPAA and PHI handling requirements in the context of records production
• Strong command of Excel or similar tools for audit and deadline tracking across multiple matters simultaneously
• Excellent written communication — this role requires drafting-ready work product, not just organizing files
• Comfort working directly with partners in a fast-paced, deadline-driven practice
• Bachelor's degree preferred; paralegal certificate a plus but not required if experience is strong
• Experience with e-billing or litigation support software (Relativity, iManage, or similar) preferred
• Experience with legal AI systems, such as Harvey preferred
• Prior experience at a healthcare-focused law firm or in a hospital/health system legal or compliance department preferred
• Familiarity with CMS administrative appeal deadlines and the OMHA hearing process preferred