Sarasota Memorial Health Care System · 1 month ago
Reimbursement Specialist II
Sarasota, FL
Full-time
Onsite
Mid, Senior Level
4+ years expSarasota Memorial Health Care System is a healthcare organization seeking a Reimbursement Specialist II to provide administrative support for accurate and timely posting of various hospital charges. The role involves ensuring compliant charging practices, resolving coding edits, and educating clinical staff on documentation accuracy while mentoring other specialists.
Health CareHospital
Responsibilities
Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMHCS or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of 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
Independently resolves Surgery, Emergency Room, Observation, or Delivery/ High Risk Antepartum/Testing/Triage charge Correct Coding Initiative (CCI) edits
Performs other reimbursement assignments to resolve billing, coding, or collection issues
Interacts with clinical staff to educate and improve clinical documentation that supports the accuracy of care provided and charges posted
Assists Revenue Cycle staff in providing information to support appeals or audits
Acts as a leader, mentor, and trainer to other Reimbursement Specialists
Qualification
Required
Require a minimum of four (4) years of health care experience involving charging practices and patient flow processes
Require coding certification
Preferred
Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, SCFA and CST)
Prefer demonstrated interpersonal and communication skills
Prefer 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)
Company
Sarasota Memorial Health Care System
Sarasota Memorial Health Care System, an 839-bed regional medical center, is among the largest public health systems in Florida.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
D
David Verinder
CEO
Recent News
2025-10-03
Tampa Bay Business Journal
2025-01-21
Modern Healthcare
2025-01-14
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