ER Reimbursement Specialist (1.0 D)
Boost your chances before you apply.
Franciscan Alliance, Inc.
US
Summary
The specialist evaluates emergency room visit documentation to ensure accurate charge capture and identifies gaps in clinical information. They also conduct investigations into payment discrepancies and coordinate third-party audits while advising management on reimbursement issues.
Job Description
Work From Home
Work From Home Work From Home, Indiana 46544
The Emergency Room Reimbursement Specialist evaluates the emergency room visit documentation for accurate and complete charge capture, assessing for gaps in documentation with regards to clinical information, and querying the providers when necessary.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
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Schedule: Monday - Friday | Day Shift
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Conduct an investigation and assessment regarding payment discrepancies.
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Identify and implement necessary actions to ensure appropriate outcomes are met.
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Conduct and coordinate third party audits.
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Advise and inform management of reimbursement issues.
QUALIFICATIONS
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High School Diploma/GED - Required
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Associate's Degree Allied Health Profession - Preferred
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4 years Emergency Room coding/ charging, Revenue Cycle, billing experience - Required
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4 years Emergency Room clinical experience - Required
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No Experience required IF candidate holds an active RHIT, RHIA, or CCS
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CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) upon hire - Preferred -or-
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RHIT (Registered Health Information Technician) Candidate - American Health Information Management Association (AHIMA) credential obtained within 1 year of hire - Preferred -or-
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RHIA (Registered Health Information Administrator) Candidate - American Health Information Management Association (AHIMA) credential obtained within 1 year of hire - Preferred
TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Emergency Room Reimbursement Specialist $18.02 - $23.43
INCENTIVE:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
A trusted leader in providing faith-based, integrated health care, Franciscan Alliance brings together the latest technology, innovative procedures and the brightest, most compassionate people to serve our patients in Indiana, Illinois and Michigan. Throughout our 13 hospitals and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.
Our health care system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by: Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities; Treating the mind, body and spirit with holistic and comprehensive medical options; Developing creative structures for health care delivery; Being advocates for those in need; Identifying and developing our sisters and laity for Franciscan leadership.
Founded
1974
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit
A trusted leader in providing faith-based, integrated health care, Franciscan Alliance brings together the latest technology, innovative procedures and the brightest, most compassionate people to serve our patients in Indiana, Illinois and Michigan. Throughout our 13 hospitals and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.
Our health care system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by: Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities; Treating the mind, body and spirit with holistic and comprehensive medical options; Developing creative structures for health care delivery; Being advocates for those in need; Identifying and developing our sisters and laity for Franciscan leadership.
Founded
1974
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit