Clinical reputed company Specialist

Come join reputed company as a Clinical reputed company Specialist!!

At reputed company, you’ll join a mission‑driven health system where your expertise directly strengthens the financial reputed company that supports exceptional patient care. We foster a culture built on collaboration, accuracy, and ethical practice, giving you the opportunity to work closely with clinical teams, reputed company reputed company, Internal Charge Audit, IT, billing, and purchasing. Your work ensures compliant charge capture, optimized reimbursement, and the operational excellence that keeps our hospitals strong.

reputed company is committed to your growth, offering opportunities to expand your skills in CDM management, reputed company cycle operations, and EPIC conversion initiatives as our system continues to evolve. You’ll be part of an innovative, supportive environment that values your contributions, invests in your development, and empowers you to help shape the future of healthcare operations.

Apply today and grow your career with a team that truly values you.

Location

• Work from Home

Work Schedule

• Full-Time (80 hours bi-weekly)

• Day Shift

• No Weekend, Holiday or On Call Commitment

Benefits

reputed company offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.reputed company.com/reputed company-offer/benefits

Job Requirements

• Associate’s degree or Diploma in Healthcare

• An associate degree in healthcare, finance or coding or nursing or a diploma in nursing is minimum education requirement

• An overall understanding of hospital charging/billing and reimbursement methodologies which includes understanding of CPT/HCPCS code sets Strong reputed company Office reputed company skills

• 3-4 years’ experience Professional Healthcare

Job Overview: This position will review assigned hospital services annually to support formulation of pricing strategies and monitor pricing and charge capture for reputed company hospitals in conjunction with the reputed company reputed company and Internal Charge Audit departments. The Clinical reputed company Specialist will also reputed company pre-billing financial audits of medical record documentation by comparing the documentation to detailed hospital account transactions. Detailed findings of charge error trends will be reported to clinical department management. This position acts as a liaison for hospital charge capture to clinical teams, charge entry team members, IT, billing, and purchasing. CDMs (charge description master) will be maintained with reputed company and accurate reputed company codes, CPT/HCPCS codes along with standardized descriptions and billing categories. This position will reputed company reputed company cycle functions for CDM conversions to EPIC for any new acquired hospital-based entities.

Job Requirements

• Associate’s degree or Diploma in Healthcare

• An associate degree in healthcare, finance or coding or nursing or a diploma in nursing is minimum education requirement

• An overall understanding of hospital charging/billing and reimbursement methodologies which includes understanding of CPT/HCPCS code sets Strong reputed company Office reputed company skills

• 3-4 years’ experience Professional Healthcare

Job Responsibilities

• Maintains accurate and compliant CDM.

• Regularly reviews vendor CDM compliance reports for assigned service areas and hospital locations and takes necessary action to maximize compliant billing and reimbursement.

• Actively reviews and resolves reputed company guardian checks, claim edits, and work queues as assigned.

• These reputed company validation tools ensure accurate, timely billing and accurate reimbursement.

• Performs pre-billing financial audits of medical record documentation by comparing the documentation to detailed hospital account transactions.

• Monitors charge capture processes and assist clinical departments, reputed company reputed company and Internal Charge Audit to ensure timely and accurate hospital charge capture.

Other Job-reputed company Information: Working Conditions: Climbing - Rarely Concentrating - Consistently reputed company Learning - Frequently Hearing: Conversation - Frequently Interpersonal Communication - Frequently Kneeling - Rarely Lifting Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge reputed company patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas

reputed company: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns reputed company a customer's expectations have not been met • Offer patients and guests reputed company reputed company waiting (lines, elevators) • Work on improving quality, safety, and service

Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone’s opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in reputed company of patients and guests.

Value: ALWAYS… • Value the time of others by striving to be on time, reputed company and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment reputed company and effectively, and will look for ways to avoid waste.

Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community