Emergency Room Reimbursement Specialist (1.0 - WFH)

Franciscan Alliance, Inc.
Remote

About The Position

The Emergency Room Reimbursement Specialist evaluates the emergency room visit documentation for accurate and complete charge capture, assessing for gaps in documentation with regards to clinical information, and querying the providers when necessary. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

Requirements

  • High School Diploma/GED - Required
  • 4 years Emergency Room coding/ charging, Revenue Cycle, billing experience - Required
  • 4 years Emergency Room clinical experience - Required
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) upon hire - Preferred or Registered Health Information Technician (RHIT) Candidate - American Health Information Management Association (AHIMA) credential obtained within 1 year of hire - Preferred or Registered Health Information Administrator (RHIA) Candidate - American Health Information Management Association (AHIMA) credential obtained within 1 year of hire - Preferred

Nice To Haves

  • Associate's Degree Allied Health Profession - Preferred
  • No Experience required if candidate holds an active RHIT, RHIA, or CCS

Responsibilities

  • Conduct an investigation and assessment regarding payment discrepancies.
  • Identify and implement necessary actions to ensure appropriate outcomes are met.
  • Conduct and coordinate third party audits.
  • Advise and inform management of reimbursement issues.

Benefits

  • Comprehensive benefit offerings
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