Reimbursement Specialist I

DepartmentRevenue Cycle Job SummarySarasota Memorial Health Care System is a non-profit hospital located in the beautiful city of Sarasota, Florida. From our upper floors, you can see the beautiful white sand beaches of Siesta Key, the #1 rated beach in the United States. Our health care system is rapidly growing. We have recently built an additional hospital in Venice, Florida, have added a new Cancer Institute on our Sarasota campus, and are planning a new hospital location in North Port, Florida. The positions we post are additions, not replacements. If you are looking for a place to call home, where people matter, we may be the right fit for you. 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. Required Qualifications- 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. Preferred Qualifications- Prefer coding certification.- 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).- Prefer demonstrated interpersonal and communication skills.- Require a working knowledge of commonly used computer applications.- Prefer the ability to work with minimal supervision.- Prefer demonstrated proficiency with medical terminology.- 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. Mandatory EducationHS EQ: High School Diploma, GED or Certificate _Reputation. Community. Impact. Growth. Every day, our patients at Sarasota Memorial Health Care System 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.Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10 Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.* Highest 5-Star rating from Medicare for quality and safety* Straight "A's" for Patient Safety* SMH is also listed among U.S. News “Best Hospitals for Maternity” for 2021-2022; the only hospital in the region to make the list.* One of the nation's 100 Top Hospitals, 40 Top Teaching Hospitals and 50 Top Cardiovascular Hospital* Listed among U.S. News' 50 Best Hospitals for Rehabilitation Services and Specialized Urology Care, 2022 - 2023* Forbes' Best Employers for Women* Named among the World’s Best Hospitals by Newsweek, 2019-2022The benefits of being the best: Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:Total Rewards PackagePaid Time Off (start earning PTO on day one of employment)Tuition ReimbursementDiscounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time EmployeesFlexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax DollarsLife InsuranceDisability InsuranceRetirement Savings Plan: 403bSarasota Campus for now - Discounted Child Care & Before and After School Program and Summer CampBereavement LeaveFree ParkingOn Campus Dining w/ a 10% discountCredit Union w/ teller machines on campusDirect DepositFree Wellness ScreeningFree confidential counseling servicesEmployee Discount ProgramsRecognition ProgramsReferral ProgramsTremendous growth opportunities for hard workers- 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. - Prefer coding certification.- 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).- Prefer demonstrated interpersonal and communication skills.- Require a working knowledge of commonly used computer applications.- Prefer the ability to work with minimal supervision.- Prefer demonstrated proficiency with medical terminology.- 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.