Provides administrative support for accurate and timely posting of Surgery, Emergency Room (ECC), hospital-wide observation, or Delivery / High Risk Antepartum / Testing / Triage charges under the direction of Revenue Cycle Management.
Responsible for compliant charging practices by reviewing the medical record to ensure clinical documentation supports charge accuracy. Independently resolves charge Correct Coding Initiative (CCI) edits for assigned service areas.
Performs reimbursement-related work to resolve billing, coding, or collection issues. Collaborates with clinical staff to improve documentation supporting the care provided and charges posted.
Assists Revenue Cycle staff with information needed for appeals or audits.
Serves as a leader, mentor, and trainer to other Reimbursement Specialists.
Required
- Minimum of 4 years of healthcare experience involving charging practices and patient flow processes
- Coding certification
- High school diploma, GED, or certificate
Preferred
- Clinical certification from a recognized healthcare credentialing organization in a specialty area such as RRA, RT, VI, CI, RCIS, RVS, SCFA, or CST
- Strong interpersonal and communication skills
- Working knowledge of commonly used computer applications
- Ability to work with minimal supervision
- Proficiency with medical terminology
- Proficiency in charging and coding for areas such as Surgery, Emergency Room, Observation, or Delivery / High Risk Antepartum / Testing / Triage
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago