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Franciscan Alliance, Inc.

ER Reimbursement Specialist (1.0 D)

Posted 13 hours ago
$18.02 - $23.43 per hour
2-5 years experience
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AI 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.

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

  • Schedule: Monday - Friday | Day Shift

  • Conduct an investigation and assessment regarding payment discrepancies.

  • Identify and implement necessary actions to ensure appropriate outcomes are met.

  • Conduct and coordinate third party audits.

  • ​Advise and inform management of reimbursement issues.


 
QUALIFICATIONS

  • High School Diploma/GED - Required

  • Associate's Degree Allied Health Profession - Preferred

  • 4 years Emergency Room coding/ charging, Revenue Cycle, billing experience - Required

  • 4 years Emergency Room clinical experience - Required

  • No Experience required IF candidate holds an active RHIT, RHIA, or CCS

  • CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) upon hire - Preferred -or-

  • RHIT (Registered Health Information Technician) Candidate - American Health Information Management Association (AHIMA) credential obtained within 1 year of hire - Preferred -or-

  • 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

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