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Sarasota Memorial Health Care System · 3 months ago

Reimbursement Specialist I

Sarasota, FL

Full-time

Onsite

Entry Level

2+ years exp

Sarasota Memorial Health Care System is seeking a Reimbursement Specialist I to provide administrative support for accurate and timely posting of various hospital charges. This role involves ensuring compliant charging practices and assisting in the review and resolution of charge edits, while also mentoring other specialists.

Health CareHospital

Growth Opportunities

Responsibilities

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

Qualification

Coding certificationHealth care experienceMedical terminologyCharging practicesComputer applicationsMinimal supervisionCodingInterpersonal skillsCommunication skills

Required

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

Require a working knowledge of commonly used computer applications

HS EQ: High School Diploma, GED or Certificate

Preferred

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

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