charge capture specialist

Providence

<div><p><b>Description</b></p>
<p>Providence is calling for Senior Charge Description Master Specialist - FT/Day</p>
<p>As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), and researches CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance. The Senior CDM Specialist coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries and monitors the alignment of the individual ministries to the PSJH System's standard CDM. The Senior CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process; and is responsible for training Specialists to evaluate department charge processes to improve charge capture and coding compliance. The Senior CDM Specialist also coordinates with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.</p>
<p>Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.</p>
<p><b>Required Qualifications:</b></p>
<ul><li>Bachelor&rsquo;s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or other related field of study, or equivalent educ/experience</li>
<li>Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.</li>
<li>Min 5 years Hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding principles.</li>
<li>3 years operational performance improvement and/or project management experience.</li>
<li>5 years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP</li>
<li>3 years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.</li>
<li>5 years experience with Hospital charging practices.</li>
</ul><p><b>Preferred Qualifications:</b></p>
<ul><li>Coding experience.</li>
</ul><p><b>Salary Range by Location:</b></p>
<ul><li>AK: Anchorage: Min: $40.11, Max: $62.27</li>
<li>AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91</li>
<li>California: Humboldt: Min: $40.98, Max: $64.88</li>
<li>California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82</li>
<li>California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91</li>
<li>California: Bakersfield: Min: $40.11, Max: $62.27</li>
<li>Idaho: Min: $35.69, Max: $55.41</li>
<li>Montana: Except Great Falls: Min: $32.29, Max: $50.13</li>
<li>Montana: Great Falls: Min: $30.59, Max: $47.49</li>
<li>New Mexico: Min: $32.29, Max: $50.13</li>
<li>Nevada: Min: $41.81, Max: $64.91</li>
<li>Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05</li>
<li>Oregon: Portland Service Area: Min: $40.11, Max: $62.27</li>
<li>Texas: Min: $30.59, Max: $47.49</li>
<li>Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Southwest - Olympia, Centralia &amp; Below: Min: $40.11, Max: $62.27</li>
<li>Washington: Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Eastern: Min: $35.69, Max: $55.41</li>
<li>Washington: South Eastern: Min: $37.39, Max: $58.05</li>
</ul><p><b>Why Join Providence?</b></p>
<p>Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.</p>
<p>Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.</p>
<p><b>About Providence</b></p>
<p>At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.</p>
<p>Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p>
<p>Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.</p>
<p>Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</p>
<p><b>About the Team</b></p>
<p>Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.</p>
<p>Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.</p>
<p><b>Requsition ID:</b> 420156
</p><p><b>Company:</b> Providence Jobs
</p><p><b>Job Category:</b> Patient Financial Services
</p><p><b>Job Function:</b> Revenue Cycle
</p><p><b>Job Schedule:</b> Full time
</p><p><b>Job Shift:</b> Day
</p><p><b>Career Track:</b> Business Professional
</p><p><b>Department:</b> 4001 SS RC CHARGE DECR MSTR
</p><p><b>Address:</b> OR Portland 4400 NE Halsey St
</p><p><b>Work Location:</b> Providence Health Plaza (HR) Bldg 1-Portland
</p><p><b>Workplace Type:</b> On-site
</p><p><b>Pay Range:</b> $See Posting - $See Posting
</p><p>The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p></div><p></p>

Senior Charge Description Master Specialist - FT/Day

HCA Healthcare Physician Services

<p></p><div><h5 class="jobSectionHeader"><b>Introduction</b></h5><p>
Do you want to join an organization that invests in you as a(an) Charge Entry Specialist? At Health Central Women, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
Health Central Women offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing<br>
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>
Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>
Colleague recognition program<br>
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b></p><p><br>
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Charge Entry Specialist like you to be a part of our team.</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p><b>
Charge Entry Specialist</b>
</p><p>Seeking a <b>Charge Entry Specialist</b> for our practice who provides clerical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.</p><p></p><p><b>
What you will do in this role:</b>
 </p><ul><li>You will receive and review charge documents for accuracy and coordinates with front office staff on all payment/billing issues</li></ul><p></p><ul><li>You will enter charges into practice management system.
</li><li>You will balance Charge Summary to tickets keyed before finalizing/updating charges in the system
</li><li>You will extract information from medical records, operative notes, hospital admissions, consults, progress notes and discharges to ensure completeness and accuracy
</li><li>You will assist with identifying quality issues with registration and scheduling activities
</li></ul><p></p><p><b>What Qualifications you will need:</b>
</p><p></p><ul><li>Minimum of 1 year of coding, billing, and/or charge entry experience in the healthcare field is required
</li><li>Knowledge of medical terminology and coding is highly preferred
</li><li>Familiarity with third party billing requirements and payment policies is also highly preferred
</li></ul><p>Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><p></p><p><br>
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Charge Entry Specialist opening. Qualified candidates will be contacted for interviews. <b>Submit your resume today to join our community of caring!</b></p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

Charge Entry Specialist

Work From Home

<p></p><div><p>Do you want to join an organization that invests in you as a(an) Charge Entry Specialist WFH? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5>
<p></p><h5 class="jobSectionHeader"><p><b>Seeking a Charge Entry Specialist for our practice who provides clerical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.</b></p><b>
</b><p><b>What you will do in this role:</b></p><b>
</b><ul><li><b>You will receive and review charge documents for accuracy and coordinates with front office staff on all payment/billing issues</b></li><li><b>
You will enter charges into practice management system.</b></li><li><b>
You will balance Charge Summary to tickets keyed before finalizing/updating charges in the system</b></li><li><b>
You will extract information from medical records, operative notes, hospital admissions, consults, progress notes and discharges to ensure completeness and accuracy</b></li><li><b>
You will assist with identifying quality issues with registration and scheduling activities</b></li></ul><b>
</b><p><b>What Qualifications you will need:</b></p><b>
</b><ul><li><b>Minimum of 1 year of coding, billing, and/or charge entry experience in the healthcare field is required</b></li><li><b>
Knowledge of medical terminology and coding is highly preferred</b></li><li><b>
Familiarity with third party billing requirements and payment policies is also highly preferred</b></li></ul><b>
Benefits</b></h5><p></p><p>
Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li><b>
Comprehensive benefits</b> for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li><b>
Wellbeing support,</b> including free counseling and referral services</li><li><b>
Time away from work</b> programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li><b>
Savings and retirement resources</b>, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li><b>
Education support</b> through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li><b>
Additional benefits</b> for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b></p><p></p><p>
Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><br>
<p></p><p>&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p><p>
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Charge Entry Specialist WFH opening. Qualified candidates will be contacted for interviews. <b>Submit your resume today to join our community of caring!</b></p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

Charge Entry Specialist WFH

Baylor Scott & White Health

<div><h4 class="jobSectionHeader"><b>About Us</b></h4><p>
Here at Baylor Scott &amp; White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>
Our Core Values are:</p><ul><li>
We serve faithfully by doing what's right with a joyful heart.</li><li>
We never settle by constantly striving for better.</li><li>
We are in it together by supporting one another and those we serve.</li><li>
We make an impact by taking initiative and delivering exceptional experience.</li></ul><h4 class="jobSectionHeader"><b>
</b></h4><h4 class="jobSectionHeader"><b>
Benefits</b></h4><p>
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott &amp; White Benefits Hub to explore our offerings, which may include:</p><ul><li>
Immediate eligibility for health and welfare benefits</li><li>
401(k) savings plan with dollar-for-dollar match up to 5%</li><li>
Tuition Reimbursement</li><li>
PTO accrual beginning Day 1</li></ul><p><i>
Note: Benefits may vary based upon position type and/or level.</i></p><div><div><div><h4 class="jobSectionHeader"><b>
Job Summary</b></h4><p>
The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate must know professional and technical charge editing processes.</p><p>
Hybrid position:</p><ul><li><p>
Candidate must live in the Baylor Scott &amp; White service area (DFW, Temple/Waco, Greater Austin Area, and/or College Station).</p></li></ul><h4 class="jobSectionHeader"><b><br>
</b></h4><h4 class="jobSectionHeader"><b>
Essential Functions of the Role</b></h4><ul><li>
Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.</li><li>
Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.</li><li>
Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.</li><li>
Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.</li><li>
Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.</li><li>
Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.</li><li>
Assists in the resolution of billing edits and denials.</li><li>
Acts as a liaison between management, billing, HIM, and clinical departments. Resolves errors related to professional or technical charge practices.</li><li>
Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.</li></ul><h4 class="jobSectionHeader"><b>
Key Success Factors</b></h4><ul><li>
Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.</li><li>
Working knowledge of medical terminology.</li><li>
Ability to establish and maintain working relationships.</li><li>
Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.</li><li>
Excellent customer service skills.</li><li>
Proficient with MS Office applications.</li><li>
Must be willing to work varying hours according to work requirements, including nights and weekends.</li><li>
Proficient typing (35 wpm minimum)/keyboarding skills.</li><li>
Ability to multi-task.</li><li>
Must have revenue cycle experience in a healthcare setting.</li><li>
Experience with Epic is required.</li><li>
Collections experience</li><li>
Front-end and back end revenue cycle knowledge is essential.</li><li><p>
Access service experience is preferred.</p></li></ul><p></p><h4 class="jobSectionHeader"><b><br>
Belonging Statement</b></h4><p>
We believe that all people should feel welcomed, valued and supported.</p></div></div></div><div></div><p><b><br>
QUALIFICATIONS</b></p><ul><li>
EDUCATION - H.S. Diploma/GED Equivalent</li><li>
EXPERIENCE - Less than 1 Year of Experience</li></ul></div>

Charge Integrity Analyst 1

Sarasota Memorial Hospital

<div>Job Summary:
<div>
Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMH or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of the 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. Assists in the review and resolution of Surgery, Emergency Room, Observation, or Delivery/ High Risk Antepartum/Testing/Triage charge Correct Coding Initiative (CCI) edits. Acts as a mentor and trainer to other Reimbursement Specialists.</div>
Required Qualifications:
<ul><li>Require a minimum of two (2) years of health care experience involving charging practices and patient flow processes. Current coding certification will substitute for the required experience.</li></ul>
Preferred Qualifications:
<ul><li>Prefer coding certification.</li><li>Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e., RRA, RT, VI, CI, RCIS, RVS, CSFA, and CST).</li><li>Prefer demonstrated interpersonal and communication skills.</li><li>Require a working knowledge of commonly used computer applications.</li><li>Prefer the ability to work with minimal supervision.</li><li>Prefer demonstrated proficiency with medical terminology.</li><li>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.</li></ul>
Mandatory Education:
<div>
HS EQ: High School Diploma, GED or Certificate</div>
Work Days/Shift/Start Time:
<div><b>
Reputation. Community. Impact. Growth.</b></div><div><b><br>
</b></div><div><b>Every day, our patients at Sarasota Memorial Health Care System</b> receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.</div><div></div><div><b><br>
Recognition:</b></div><ul><li><b>5- Star Quality Rating</b>- SMH- Sarasota is the only hospital in Florida to earn the federal Centers for<i> Medicare &amp; Medicaid Services</i>' highest rating every year since its inception.</li></ul><div></div><ul><li><br>
<b>50 Best Hospitals</b>- SMH ranked among <i>U.S. News &amp; World Report's</i> 50 Best Hospitals in two specialties, Rehabilitation and Obstetrics/Gynecology in 2023-2024, and among the nation's top 10% high peformers in 18 other medical specialties, procedures and conditions.</li></ul><div></div><ul><li><br>
<b>World's Best Hospitals</b>- SMH- Sarasota has made <i>Newsweek's</i> prestigous list six years in a row, since the global rankings began in 2019.</li></ul><div></div><ul><li><br>
<b>&quot;A&quot; for Patient Safety</b>- SMH- Sarasota has earned straight A's since it began participating in the Leapfrog Group's hospital safety survey in 2016.</li></ul><div></div><ul><li><br>
<b>Magnet Hospital</b>- SMH has been recognized as a Magnet hospital for the past 20 years by the American Nurses Credentialing Center, a continuous achievement for nursing excellence shared by less than 1% of hospitals nationwide.</li></ul><div></div><ul><li><br>
<b>America's Best Employer/Workplace</b>- SMH topped Forbe's list of America's Best Employers, ranking among the top 20% of large employers across all industries in 2024, and #1 healthcare employer in Florida in 2023. The health system also earned a 5-star rating in<i> Newsweek's</i> 2024 list of &quot;America's Greatest Workplaces for Women.&quot;</li></ul><div></div><div><b><br>
The benefits of being the best:
</b></div><div>Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:</div><div></div><div><b><br>
Total Rewards Package</b></div><ul><li>
Paid Time Off (start earning PTO on day one of employment)</li><li>
Tuition Reimbursement</li><li>
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full &amp; Part-Time Employees</li><li>
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars</li><li>
Life Insurance</li><li>
Competitie rates</li><li>
Bonuses offered</li><li>
Disability Insurance</li><li>
Retirement Savings Plan: 403b</li><li>
Sarasota Campus for now - Discounted Child Care &amp; Before and After School Program and Summer Camp!</li><li>
Bereavement Leave</li><li>
Free Parking</li><li>
On Campus Dining w/ a 10% discount</li><li>
Credit Union w/ teller machines on campus</li><li>
Direct Deposit</li><li>
Free Wellness Screening</li><li>
Free confidential counseling services</li><li>
Employee Discount Programs</li><li>
Recognition Programs</li><li>
Referral Programs</li><li>
Tremendous growth opportunities for hard workers!</li></ul>
Employment Screening Requirements: As part of Sarasota Memorial Health Care System&rsquo;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/</div>

Reimbursement Specialist I

The University of Michigan

<p></p><div><h4 class="jobSectionHeader"><b>Job ID:</b><b> 53350</b></h4>
<h4 class="jobSectionHeader"><b>Description:</b></h4>
<div><p><b>Positions Location:</b> Lansing, MI</p><p></p><div><br>
<h2 class="jobSectionHeader"><b>
Job Description</b></h2>
<p></p><p><b>
General Purpose of Job</b>:
</p><p>The UMHP Clinical Documentation Specialist - Senior (CDS) serves as a subject matter expert in clinical documentation improvement and provider coding accuracy, for ambulatory Primary Care and Specialty Care services. This position provides advanced expertise, guidance, and education to physicians, APPs, and staff on documentation standards, CPT/ICD-10 and HCC coding, and compliance requirements. The CDS Senior focuses on analyzing complex documentation and coding issues, identifying opportunities for improvement, and coordinating with leadership on the development of best practices to ensure accurate charge capture.</p>
<p><b>
Essential Duties</b>:</p>
<p><b>
This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
</b></p><ul><li>Collaborates with key stakeholders on the design, implementation, education and evaluation of tools and resources to assist providers with efficient and effective documentation, accurate coding and charge capture opportunities. All coding edits and/or revisions including claim submission are the sole responsibility of the HIM and billing teams. All coding education will be approved by Compliance prior to implementation.</li>
<li>Provides partial coordination and project management of the Medical Group and Population Health&rsquo;s governance structure Councils, Committees and Offices.</li>
<li>Serves as a subject matter expert and supports fellow UMHP CDS team members.</li>
<li>Collaborates with key stakeholders on the facilitation and deployment of the UMHP CDS coding and documentation education strategy.</li>
<li>Collaborates with key stakeholders on the development of an upstream coding, documentation, charge capture, education approach focused on new departments and emphasizing new specialty areas to increase knowledge and establish sustainable best practices early on.</li>
<li>Provides support during the onboarding training and support for new physicians and APPs on documentation, coding and charge capture excellence, establishing a periodic check-in/assessment process and appropriate charge capture check-ins.</li>
<li>Collaborates with key stakeholder on communications with Primary Care site and Specialty Care service line leaders, physicians and APPs with regard to clinical documentation and medical coding for patient care services. Facilitates CDS interaction with site/service line provider champions.</li>
<li>Tracks ROI and collaborates with leadership on the preparation and analyzation of reports (ROI, Revenue Cycle, wRVU, etc.) to ensure operational alignment and buy-in and to provide feedback on provider and coding performance including state of documentation, charge capture and reconciliation.</li>
<li>In collaboration with the leadership and the UMHP CDS team, identifies ROI, documentation trends and priority areas/pain points to be shared with site/service line leadership to allow for clinician education. Prepares case and specific documentation examples/presentations to share at department meetings.</li>
<li>Reviews wRVU recovery data provides recommendations on areas to be prioritized.</li>
<li>Assists with UMHP and department initiatives to improve charge capture and reconciliation.</li>
<li>Supports the strategic development of outpatient charge capture optimization (i.e. professional clinical visits/services, surgeries, procedures and imaging studies), and facilitates change processes.</li>
<li>Identifies educational opportunities to improve and enhance learning. Maintains current with specialty coding updates, work processes, tools, and clinical and administrative applications necessary to perform job functions.</li>
<li>Serves as a resource on documentation requirements and ensures compliance with applicable laws and regulations at the direction of the internal audit team.</li>
<li>Builds and maintains positive working relationships throughout the organization that enable efficient leadership through projects involving change management or complex cross-departmental collaboration.</li>
</ul><p></p>
</div><p></p><div><h2 class="jobSectionHeader"><b>Job Requirements</b></h2>
<div><div><div><div><b>General Requirements</b></div> <div>&bull; RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate &bull; EPIC or Revenue Cycle Certification &ndash; preferred &bull; Clinical Documentation certification &ndash; preferred
</div></div><br>
<div><div><b>Work Experience</b></div> <div>&bull; At least five (5) years of experience with healthcare documentation, coding requirements, or revenue cycle coding experience &bull; At least one (1) year of experience as an educator or trainer in a healthcare setting &bull; Prior clinical experience &ndash; preferred &bull; Experience using EPIC &ndash; preferred
</div></div><br>
<div><div><b>Education</b></div> <div>&bull; Associate degree in Business, Nursing, or related field; or equivalent experience in medical billing, coding, health information technology/management, health administration, business administration or another related field. &bull; Bachelor&rsquo;s degree in related field &ndash; preferred
</div></div><br>
<div><div><b>Specialized Knowledge and Skills</b></div> <div>&bull; Extensive CPT and ICD-10 coding knowledge. &bull; Demonstrated experience providing documentation and coding education to providers. &bull; Excellent communication skills (verbal and written) to enable effective outcomes with the diverse complex clinical care teams. &bull; Ability to navigate the EHR to identify documents or review to provide accurate capture of clinical information. &bull; Medical terminology and clinical knowledge with the ability to review documentation and determine what documentation is needed to provide accurate medical codes. &bull; Ability to work independently, self-motivated and an ability to adapt to the changing healthcare environment. &bull; Demonstrates attention to detail, proficiency in organizational skills and planning with and ability to juggle multiple priorities in a fast-changing environment. &bull; Proficiency in computer use including Microsoft Office Suite experience. &bull; Provide support to clinicians on navigating all functions of the EHR. &bull; Possess initiative-taking, strategic, innovating and out-of-the-box thinking. &bull; Exhibit an understanding of health care administration, health industry trends. &bull; Demonstrates leadership, independence, responsibility, accountability and good judgment. Ability to think strategically. &bull; Acts as a self-starter and demonstrate a willingness to take on new and challenging leadership roles, as well as non-leadership projects and deliverables. &bull; Accepts and respects diversity without judgment.
</div>
</div><br>
</div></div></div><p></p><p>University of Michigan Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.</p>
</div><h4 class="jobSectionHeader"><b>Job Family</b></h4>
Management/Professional
<h4 class="jobSectionHeader"><b>Requirements:</b></h4>
<div><div><div><div>Shift </div><div>Days
</div></div><br>
<div><div>Degree Type / Education Level </div><div>Associate
</div></div><br>
<div><div>Status </div><div>Full-time
</div></div><br>
<div><div>Facility </div><div>Match Any
</div></div><br>
<div><div>Experience Level </div><div>4-9 Years</div></div></div></div></div>

UMHP-CLINICAL DOCUMENTATION SPECIALIST SENIOR

Gastro Office LLC

<p>Job Title: Revenue Cycle Manager</p><p>Location: Hilliard, Ohio (Gastro Office &amp; Hilliard Endo Center &ndash; separate tax IDs)</p><p>Reports To: Office Manager (with close collaboration with COO and CEO)</p><p>Direct Reports: 1 Billing Specialist (focused on patient collections, down payments, time-of-service fees, and financial arrangements)</p><p><b>Position Summary</b></p><p>Gastro Office, a growing gastroenterology practice with an attached Quad A-accredited ambulatory surgery center (Hilliard Endo Center), seeks a proactive Revenue Cycle Manager to own end-to-end revenue integrity, coding accuracy, and financial performance. This hands-on leadership role combines deep GI/ASC coding expertise with oversight of outsourced billing, denial reduction, and KPI tracking to drive cash flow and support our Vision.</p><p><b>Core Responsibilities</b></p><p>Coding &amp; Charge Integrity</p><ul><li>Assign and oversee accurate CPT, ICD-10, and HCPCS coding for professional (physician) and facility (ASC) charges, with focus on high-volume GI procedures and compliance with NCCI edits/bundling rules.</li><li>Review and audit medical documentation (procedure notes, op reports, pathology results) for completeness, medical necessity, and specificity identify issues like missing extent of exam (e.g., cecum reached), indication, or findings that trigger denials.</li><li>Conduct charge capture audits and random reviews of endoscopy cases to catch missed revenue (e.g., unreported biopsies, sedation, implants/supplies, add-on codes for dilation/stents).</li><li>Manage coding compliance and quality: Monitor upcoding/downcoding risks, stay current on annual CPT/ICD-10 updates (via AAPC, AGA, ASGE, CMS), implement internal checks, and maintain &gt;95% clean claim rate.</li><li>Research and implement new CPT/HCPCS codes for emerging business lines and link directly to documentation requirements, physician education sessions, and charge master updates to capture new revenue.</li></ul><p>Denials &amp; Performance Management</p><ul><li>Perform root-cause analysis on coding-related denials (e.g., incorrect modifier, documentation specificity); categorize all denials, provide targeted physician pointers/education, and track reductions as a Scorecard metric.</li><li>Oversee full revenue cycle KPIs (Days in A/R, denial rate by category including coding, clean claim %, net collection rate, bad debt %) run weekly dashboards, flag trends, and present.</li></ul><p>Team &amp; Vendor Oversight</p><ul><li>Supervise and train 1 Billing Specialist on coding-impacting tasks (e.g., how front-end errors affect claims); delegate patient collections/follow-up to them</li><li>Manage relationship with 3rd-party billing company: Conduct weekly check-ins, performance reporting (e.g., coding accuracy audits) and issue escalation</li><li>Collaborate with Office Manager on front-end processes: Quick huddles/shared dashboard reviews for eligibility/authorization issues; ensure reception captures accurate patient info to prevent demographic denials.</li></ul><p>Additional Key Responsibilities</p><ul><li>Denial management deep-dive: Full categorization, physician education, and improvement tracking.</li></ul><p>Job Type: Full-time</p><p>Pay: From $68,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Healthcare Revenue Cycle Manager for GI clinic

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