Reimbursement Specialist - Healthcare jobs in Lynchburg, VA

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)

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Regional Clinical Reimbursement Specialist
  • Saber Community Support and Development Office
  • Charlottesville, VA FULL_TIME
  • We are a leader in the long-term care industry operating in 6 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development of our Scratch Kitchens to the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!

    Come work for a growing company, who appreciates the value of its team members!

    This is Our Advantage:

    • Weekly Pay!
    • Great Benefits!
    • Competitive Wages!

    Qualifications/Responsibilities:

    • Must possess a current, unencumbered, active license to practice as a Registered Nurse or Licensed Practical Nurse in the state of employment
    • Preferably hold a Bachelor’s degree from a (4) four year college or university or four (4) to five (5) years of related experience and/or training; or an equivalent combination of education and experience
    • Must have proven leadership ability with a minimum of five (5) years of experience in nursing service administration preferred
    • Implements policies and procedure for Clinical Reimbursement in the Region
    • Monitors achievement of goals and objectives for the facility in regards to clinical assessments and reimbursement consistent with established philosophy and standards of practice
    • Monitors Quality Indicators and Quality Measures to insure the appropriate information within the MDS assessments are accurately identified
    • Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS
    • Assure care planning and care conferencing is taking place according to the state and regulatory guidelines
    • Schedules periodic site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department
    • Provide in-service training and orientation to facility staff regarding the MDS, ADL’s and accuracy

    Shifts and Wages:

    • Full-Time Opportunity Available
    • Shift: Days
    Benefits and Perks:

    • Eligible for benefits the first of the month following 30 days
    • Comprehensive benefit packages including medical, dental, and vision
    • 401K through Fidelity
    • Paid Time Off (PTO)
    • Educational and tuition opportunities
    • Various Discount Programs Offered
    • Employee Recognition Programs
    • Culture of employees creating an IMPACT!
    • Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

    We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.

  • 22 Days Ago

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Coding & Reimbursement Specialist, Senior
  • UVA Medical Center
  • Charlottesville, VA FULL_TIME
  • Responsible for the assignment of appropriate.ICD-10-CM/PCS and /or CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. Assigns all pertinent ICD-10-CM/P...
  • 26 Days Ago

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Secretary/Reimbursement Clerk
  • Crossroads Community Services Board
  • Farmville, VA FULL_TIME
  • Secretary/Reimbursement Clerk Location: Farmville, VA, 23901 Job Description: The Secretary/Reimbursement Clerk will be responsible for providing administrative support to the office and assisting wit...
  • 16 Days Ago

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Reimbursement Administrative Assistant
  • Horizon Behavioral Health
  • Lynchburg, VA FULL_TIME
  • Hours: full-time (37.5 hours per week) Location: Lynchburg, VA 24501 POSITION SUMMARY The Reimbursement Administrative Assistant is the primary point of contact for all clients contacting Horizon’s Bi...
  • 17 Days Ago

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Expense Reimbursement Representative (JK7063631426)
  • Qualified Staffing
  • Charlottesville, VA FULL_TIME
  • Are you experienced in accounting? Is it time to take your career to the next level? We'd love to talk to you about an exciting new position! Our client in Charlottesville is seeking Expense Reimburse...
  • 1 Month Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Lynchburg, VA FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 10 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Lynchburg, VA area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Lynchburg, VA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Vocational Rehabilitation Counselor
  • Department of Veterans Affairs
  • Lynchburg, VA
  • Summary Vocational Rehabilitation Counselors (VRCs) provide and coordinate a wide range of rehabilitation, counseling, a...
  • 4/18/2024 12:00:00 AM

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CDL-A Delivery Driver - Home Daily - Average $75k+/Year + Sign-On
  • Sysco
  • Lynchburg, VA
  • Sysco is Now Hiring Local CDL-A Delivery Drivers! Average $75,000+ First Year - Sign-On in Select Locations* Local Route...
  • 4/17/2024 12:00:00 AM

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Travel Outpatient Physical Therapist - $1,768 per week
  • Hiring Now!
  • Forest, VA
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Forest, Virginia. Job Des...
  • 4/17/2024 12:00:00 AM

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Physical Therapist - Travel Contract
  • Jackson Therapy Partners
  • Forest, VA
  • We're seeking a full time Physical Therapist to provide expert physical therapy to patients with injuries or illnesses t...
  • 4/16/2024 12:00:00 AM

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Physician / Surgery - Bariatric / Virginia / Permanent / Bariatric Surgeon Job
  • Vohra Wound Physicians
  • Lynchburg, VA
  • Full and Part-Time Physician Positions with Expanding Wound Care Physician Group Get Your Life Back No Nights, No Call, ...
  • 4/15/2024 12:00:00 AM

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Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
  • Western Express
  • LYNCHBURG, VA
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 404-4790 Real Miles. Real Money. Western Express has immed...
  • 4/14/2024 12:00:00 AM

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CDL-A Truck Driver - Home Weekly - Competitive Pay
  • U.S. Xpress
  • Rustburg, VA
  • U.S. Xpress is Now Urgently Hiring Dedicated CDL-A Truck Drivers in Roanoke, VA! CDL-A Kroger Truck Driver - Home Weekly...
  • 4/14/2024 12:00:00 AM

Lynchburg is an independent city in the Commonwealth of Virginia in the United States. As of the 2010 census, the population was 75,568. The 2017 census estimates an increase to 81,000. Located in the foothills of the Blue Ridge Mountains along the banks of the James River, Lynchburg is known as the "City of Seven Hills" or the "Hill City". In the 1860s, Lynchburg was the only major city in Virginia that was not recaptured by the Union before the end of the American Civil War. Lynchburg lies at the center of a wider metropolitan area close to the geographic center of Virginia. It is the fifth-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,309 to $50,195
Lynchburg, Virginia area prices
were up 1.2% from a year ago

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Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
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You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
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MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020