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)
Coding Specialist I
Seeking a Coding Specialist I at our Central Billing Office in Johnson City, TN. Office hours are typically 8-5, Monday through Friday.
WHO WE ARE:
State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group of more than 250 providers and 900 team members headquartered in Johnson City, TN with 35 locations in the upper East Tennessee & Southwest Virginia region. Our mission is to improve the health and well-being of our patients and our team members.
PRIMARY RESPONSIBILITIES:
REQUIREMENTS:
High school diploma or GED.
EXPERIENCE:
One to three years of CPT and ICD-10 coding and billing experience preferred.
WHAT WE OFFER:
State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members to include:
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0 Reimbursement Specialist - Healthcare jobs found in Johnson City, TN area