Reimbursement Specialist I
HR Use Only:
Hospital: Florida Weston Non-Exempt
Facility: CC Florida Weston
Department: Weston Reimbursement
Job Code: 000527
Pay Grade: 14
Schedule: Full Time
Hours: 8am - 4:30pm
Job Details: - Certified Professional Coder (CPC/RHIA/RHIT)
- 2 years experience preferred
Reimbursement Specialist I under general supervision of the Manager of Revenue and Chargemastersupports the hospital revenue cycle by completing claim reviews and processing appropriate actions to resolve Medicare OCE/CCI claim edits and custom charge review edits using paperless Epic Resolute workqueue system. As assigned may participate in projects and processes initiated by CCHS Revenue Cycle of new clinical information systems, billing applications, or performance improvement related hospital charge capture.
Requires coding certification CCS, CPC-H, or CPC and in-depth working knowledge of CPT, HCPCSII, and modifiers; and UB technical billing form, reimbursement methodologies with emphasis on CMS OPPS, CCI, and OCE edits.
Category: Clerical/Administrative Support
Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit multispecialty academic medical center that integrates clinical and...