Emergency Room Reimbursement Specialist

Work From Home

Work From Home Work From Home, Indiana 46544

The Emergency Room Reimbursement Specialist evaluates the emergency room visit documentation for accurate and complete charge capture, assessing for gaps in documentation with regards to clinical information, and querying the providers when necessary.

WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

• Review clinical documentation to validate accurate representation of the patient’s clinical picture, treatment, and diagnoses. Evaluate complex emergency room visits that cannot automatically be billed through automation.  Verify the auto suggested facility charge calculator evaluation and management level for charge accuracy. Assigns appropriate procedures, supplies, and infusion/injection administrative charges.

• Recognize issues that prevent the completion of accurate charging and identify when documentation relevant to the coding and charging process is missing, lacks specificity or is inconsistent. Take steps to obtain the documentation utilizing queries when necessary.

• Apply charging hierarchy methodology for medication administration and emergency room procedure charging/supplies. 

QUALIFICATIONS

• High School Diploma - Required

• Associate's Degree - Preferred

• 4 Years Emergency Room Coding/Charging, Revenue Cycle, or Billing Experience - Required, OR

• 4 Years Emergency Room Clinical Experience - Required, OR

• CCS, RHIT, or RHIA – Required with no experience

TRAVEL IS REQUIRED:

Never or Rarely

JOB RANGE:

Emergency Room Reimbursement Specialist $17.00-$22.10

INCENTIVE:

Not Applicable

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.