Reimbursement Specialist I

Sarasota Memorial Health Care SystemSarasota, FL
15hOnsite

About The Position

Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMH or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of the Revenue Cycle Management. Provides compliant charging practices for all payors by reviewing the medical record for appropriate clinical documentation that supports the accuracy of charges. Assists in the review and resolution of Surgery, Emergency Room, Observation, or Delivery/ High Risk Antepartum/Testing/Triage charge Correct Coding Initiative (CCI) edits. Acts as a mentor and trainer to other Reimbursement Specialists.

Requirements

  • Require a minimum of two (2) years of health care experience involving charging practices and patient flow processes.
  • Current coding certification will substitute for the required experience.
  • HS EQ: High School Diploma, GED or Certificate

Nice To Haves

  • Prefer coding certification.
  • Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e., RRA, RT, VI, CI, RCIS, RVS, CSFA, and CST).
  • Prefer demonstrated interpersonal and communication skills.
  • Require a working knowledge of commonly used computer applications.
  • Prefer the ability to work with minimal supervision.
  • Prefer demonstrated proficiency with medical terminology.
  • Prefer demonstrated proficiency with specific charging and coding as it applies to various departments (i.e. Surgery, Emergency Room, Observation, or Delivery/High Risk Antepartum/Testing/Triage.

Benefits

  • Paid Time Off (start earning PTO on day one of employment)
  • Tuition Reimbursement
  • Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
  • Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
  • Life Insurance
  • Competitie rates
  • Bonuses offered
  • Disability Insurance
  • Retirement Savings Plan: 403b
  • Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
  • Bereavement Leave
  • Free Parking
  • On Campus Dining w/ a 10% discount
  • Credit Union w/ teller machines on campus
  • Direct Deposit
  • Free Wellness Screening
  • Free confidential counseling services
  • Employee Discount Programs
  • Recognition Programs
  • Referral Programs
  • Tremendous growth opportunities for hard workers!

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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