Partners with departmental staff and physicians across Patient Financial Services, Case Management, Health Information Management, Corporate Compliance, Surgery, Nursing, Physicians, Outpatient Procedural Departments, Reimbursement, and Internal Audit.
Serves as a primary resource and educator on patient status, charge capture, coding, billing, medical necessity, Medicare rules, and payment methodologies.
Leads and participates in revenue cycle committees and appeals processes, and contributes to changes that improve compliance and revenue recognition.
Focuses on improving revenue cycle performance through best practices, clinical documentation support, issue resolution coordination, and proactive prevention measures.
Provides excellent customer service and works with a high degree of autonomy.
- Coding certification from AHIMA or AAPC within one year of hire.
- Minimum of 3 years of strong training and background in coding and reimbursement.
- Knowledge of Medicare, Medicaid, Medicare OPPS reimbursement, and third-party billing rules and coverage.
- Knowledge of medical necessity rules and the Medicare inpatient-only list.
- Bachelor’s degree required.
- Previous auditing experience preferred.
- Strong verbal and written communication skills preferred.
- Ability to work well across functional areas, manage multiple responsibilities, and problem-solve creatively and analytically.
- Paid time off starting on day one.
- Tuition reimbursement.
- Discounted medical, prescription, dental, and vision plans for full- and part-time employees.
- Flexible spending accounts for health care and dependent care.
- Life insurance.
- Disability insurance.
- 403(b) retirement savings plan.
- Bonuses offered.
- Free parking.
- On-campus dining discount.
- Credit union access on campus.
- Free wellness screening.
- Free confidential counseling services.
- Employee discount, recognition, and referral programs.
- Child care, before- and after-school program, and summer camp discounts at the Sarasota campus.
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago