Clinical Documentation Specialist

1 month ago


Miami, United States Insight Global Full time
Job DescriptionJob Description

A leading hospital system based out of Long Island is seeking a Clinical Documentation Specialist to join their physician revenue cycle department including Revenue Integrity, CDR, Patient Access, Follow up and Cash. This person will provide billing and charge support to patient financial services, Rev Integrity, and Revenue Realization. This person will ensure that charges are processed per models as well as payer policies & regulations. Some responsibilities include:

  • Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payors and educates staff through verbal and written communication.
  • Assist the revenue cycle process by creating reports, analyzing data, identifying lost revenue, and implementing revenue cycle management strategies to maximize revenue.
  • Collaborate and facilitate across revenue cycle departments to improve processes, maintain compliance and ensure information is shared with all stakeholders.
  • Manage and maintain the PB Charge Master, serving as the subject matter expert and first point of contact for all charge master related items.
  • Coordinate PB build in Epic of reimbursement contract rates for all payers provided by the organizations contract management.

 

Must Haves:

  • 3-5 years of health care Accounts Receivable experience and must have been devoted to follow up/billing
  • Coding experience is needed - either CRC, CPC or RHIT
  • Ability to read and interpret payer contracts
  • Hours are 8-4PM

 

Location: Remote, but CANNOT sit in the following states: California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Mass, Minnesota, NJ, Oregon, Pennsylvania, Vermont, Washington and Washington DC



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