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Robert Half Finance & Accounting pioneered specialized financial recruitment in 1948 and today, as a result, is the worldwide leader in the industry. We specialize in placing experienced professionals in areas such as accounting, finance, credit and collections, bookkeeping, payroll and taxation. For six decades, we have developed lasting relationships with the industry-leading companies we serve, giving us access to the best career opportunities for our candidates. Robert Half Finance & Accounting is a division of Robert Half International, which was again named #1 in our industry on FORTUNE® magazine's list of "America's Most Admired Companies." For more information, visit us online at www.roberthalffinance.com or call 1.800.474.4253 today. (FORTUNE, March 17, 2008) |
| Sr Billing and Charge Capture Specialist |
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Job Overview
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Job Description
This position is responsible for facilitating proper charge capture, billing and adjudication of claims in accordance with standard billing policies and reimbursement principles, clinical documentation practices, and CPT/HCPCS and ICD-9-CM coding through the use of the hospitals electronic information systems and manual processes. Minimum Qualifications Associates degree in Finance, Health Administration, Public Health, Business Administration or a related discipline. Certification in CCS, CCS-P, RHIA, RHIT, CPC, or specialty coding Five years experience in hospital charge capture process review, medical record review, claims auditing experience with hospital background and working with regulatory and policy compliance issues related to federal and state programs. Three years experience in hospital working with electronic Patient Financial Management and Medical Records information systems and manual processes outside of these electronic systems. Two to three years of experience providing charge capture related consulting service in an external healthcare consulting firm or as an external contractor. Two years of experience in reviewing medical records for medical necessity, charging and coding Preferred Qualifications A strong understanding of HIPAA laws and requirements as they relate to review and reporting of documentation. Experience in working with AMPFM Knowledge of managed care and third party payer benefits designs and reimbursement requirements. Nursing certification Proficient in Microsoft Office applications including Outlook, Word and Excel. Strong analytical skills with attention to detail and high degree of accuracy in order to produce reports, analyses and other detail as requested |
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