Reimbursement Specialist - Healthcare jobs in Lorain, OH

Position Highlights:

• Award Winning: Named among the top 10% in the Nation for Patient Safety Excellence Award, America’s 100 Best Orthopedic Surgery, America’s 100 Best Spine Surgery.
• Shift: Hourly full-time, Days.
• Employee-centric: Competitive pay, excellent benefits, tuition assistance, retirement plan matching, recognition program, local discounts.
• Stability: Serving Erie and surrounding counties since 1876.
• Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.
• Work/life: You will find support to help you manage your personal life while building a career.

What You Will Do:

• Under the general direction of the Manager of Coding, the Coding & Reimbursement Specialist-Level 1 codes outpatient encounters for billing purposes and data retrieval using ICD-10-CM, billing edits and CPT/HCPCS, and validates for medical necessity and contact providers for additional information.
• Codes outpatient encounters for billing purposes and data retrieval using ICD-10-CM, billing edits and CPT/HCPCS, and validates for medical necessity and contact providers for additional information.
• Utilizes software to identify and correct potential problems on bills prior to billing, ensuring accurate claim submission.
• Follows up on deficient/delinquent accounts for prompt release of claims to billing.
• Retrieves, searches data base for patient clinical information for patient accounts, physicians, etc.

What You Will Need:

• Two year Associate Degree preferred. RHIA, RHIT, CCS, CCA, CCP or eligible certification required. Credentials must be current with associated continuing education credits. Minimal (six months or less) experience in assignment of ICD-10-CM codes to medical diagnosis.
• Proficient in use of coding encoder software, Electronic Medical Record software, Outlook, and Medical Necessity software as well as other computer software programs.
• Ability to read and write small letters and numbers, and maintain orderly records anforms.
• Successful completion of a ninety (90) day probationary period.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)