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Sarasota Memorial Health Care System · Support Services Building · Sarasota, FL

Reimbursement Specialist II

TypeFull time
Experience4+ yrs
EducationHS diploma pref.
PostedOct 27
✓You’ll need
Certifications
✓Require coding certification.
Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, SCFA and CST). preferred
HS EQ: High School Diploma, GED or Certificate preferred
Qualifications
✓Require a minimum of four (4) years of health care experience involving charging practices and patient flow processes.
✓Mandatory Education
✓Required License and Certs
✓As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider
Prefer demonstrated interpersonal and communication skills. preferred
Prefer working knowledge of commonly used computer applications. preferred
Prefer the ability to work with minimal supervision. preferred
Prefer demonstrated proficiency with medical terminology. preferred
Prefer demonstrated proficiency with specific charging and coding as it applies to various departments (i.e. Surgery, Emergency Room, Observation, or Delivery/High Risk Antepartum/Testing/Triage). preferred
Preferred License and Certs
Sarasota Memorial Health Care System
Public · Sarasota, FL · 3 hospitals
397open roles
All 397 Sarasota Memorial jobs
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✓You’ll need
Certifications
✓Require coding certification.
Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, SCFA and CST). preferred
HS EQ: High School Diploma, GED or Certificate preferred
Qualifications
✓Require a minimum of four (4) years of health care experience involving charging practices and patient flow processes.
✓Mandatory Education
✓Required License and Certs
✓As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider
Prefer demonstrated interpersonal and communication skills. preferred
Prefer working knowledge of commonly used computer applications. preferred
Prefer the ability to work with minimal supervision. preferred
Prefer demonstrated proficiency with medical terminology. preferred
Prefer demonstrated proficiency with specific charging and coding as it applies to various departments (i.e. Surgery, Emergency Room, Observation, or Delivery/High Risk Antepartum/Testing/Triage). preferred
Preferred License and Certs
Sarasota Memorial Health Care System
Public · Sarasota, FL · 3 hospitals
397open roles
All 397 Sarasota Memorial jobs
Want the next healthcare job in Florida by email?
Weekly, free, unsubscribe with one click.

Full employer posting

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. - Require coding certification.

  • Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, SCFA and CST).
  • Prefer demonstrated interpersonal and communication skills.
  • Prefer working knowledge of commonly used computer applications.
  • Prefer the ability to work with minimal supervision.
  • Prefer demonstrated proficiency with medical terminology.
  • Prefer demonstrated proficiency with specific charging and coding as it applies to various departments (i.e. Surgery, Emergency Room, Observation, or Delivery/High Risk Antepartum/Testing/Triage).

Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Employment Screening Requirements As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/

About the role

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.