Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Job Requisition: REQ2360
Employment Type: Full-Time
Shift: Days
Hours Per Week: 40 hours
Hiring range: $17.00 - $24.04
Offer rates are based on experience. Offer rates at the higher end of the range are only for applicants with many years of experience
Responsibilities: • Responsible for processing record request and auditing medical records within the confines of what is minimally necessary while always safeguarding confidentiality, Responsible for responding to medical records request in a timely manner.
Minimum Qualifications Licensure / Certification / Registration:
Education : High school diploma required. Associate degree in related field preferred
Work Experience: Must be self-motivated Must be able to multitask Excellent organization skills a must Minimum of 1 year experience with medical records
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0 Reimbursement Specialist - Healthcare jobs found in Schenectady, NY area