layiq
/la·yiq/adjective
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Job opportunity
Reimbursement Specialist II
Sarasota Memorial Health
Sarasota, Florida
Source: Sarasota Memorial Health careers · View original posting
Employer job description
From Sarasota Memorial Health's posting. “We” and “our” refer to the employer.
Department
Revenue Cycle
Job Summary
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.
Required Qualifications
- Require a minimum of four (4) years of health care experience involving charging practices and patient flow processes.