Employer: Reno County
Division: County Health Department
Job Title: Fiscal Associate II - Medical Reimbursement Specialist
Employer: Reno County
Department: Health Department
Job Title: Fiscal Associate II – Medical Reimbursement Specialist
Job Number: 1192RN – Position Open Until Filled
Position Opened: 04/13/2018
The Medical Reimbursement Specialist is responsible for actively participating in the Billing Compliance Program through: investigating and responding to questions regarding documentation and coding issues, participating in the claims review process, providing documentation and compliance educational sessions to physicians and other staff, overseeing billing dictionary updates related to CPT and ICD-10 coding, and conducting inpatient and outpatient chart reviews. He/she will work closely with the Health Information Supervisor, the Finance Department and Assistant Director, to ensure that communication regarding documentation and reimbursement issues is timely, accurate and complete.
Essential Job Functions:
Investigate, respond to and communicate information regarding Departmental coding, documentation, compliance and reimbursement questions. Compile and analyze data, assist in identifying appropriate codes for services and support, provide analysis for and advise management regarding revenue and reimbursement issues. Work with the finance department to perform research and provide recommendations on fees and the use of procedure codes in a timely manner. Analyze coding issues/questions from both a compliance and reimbursement perspective. Provide compliance/documentation education to providers and staff as requested. Provide accurate and up-to-date information on regulatory and reimbursement requirements. Provide coding expertise for all compliance and reimbursement issues. Perform chart reviews for services billed. Consult with provider for clarification of clinical data when ambiguous information is encountered. Participate in the rejections and claims review process to ensure both compliance and maximization of appropriate department reimbursement. Participate as an active member of both Departmental Quality Assurance and Compliance initiatives for the department. Contribute to Quality Improvement initiatives and performance measurement system. Coordinate with other agencies and institutions, particularly in the development and process of special projects. Perform community engagement as needed on behalf of the agency. Provide direct services if needed in program areas. Represent the agency on occasions at local or state meetings or events. Keep Director informed appropriately, regarding unusual or significant matters.
BA/BS preferred. Knowledge of medical terminology and proficiency with diagnosis and CPT-4coding highly preferred. Experience in a medical related field (public health billing experience highly preferred). Proficiency with third party billing and documentation standards, particularly the Evaluation and Management codes is essential. Proficiency in reading inpatient and outpatient medical records and billing. Proficiency in Microsoft Office Suite and familiarity with an Electronic Medical Records (EMR) and Revenue Cycle Management (RCM) system preferred.
Must pass a pre-employment Physical Capacity Profile and Drug Screen.
Operate all job related machinery, equipment, tools and other aids as required, necessary, or needed in the performance of these job functions.
Incumbent must be willing to receive vaccinations for communicable diseases, as necessary and appropriate. Incumbent may be required to travel.
This position may be filled or closed to further application without notice.
Reno County is an Equal Opportunity Employer.
Reno County is an at-will, equal opportunity employer. Reno County considers applicants for all positions without regard to race, color, religion, national origin or ancestry, sex, age (40+), disability, veteran status, or any other legally protected status under local, state, or federal law. Reno County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Renee Harris, Reno County Human Resources by phone at (620-694-2988) or by email at email@example.com. Applications must be submitted on www.hrepartners.com. You will be contacted should the department feel that you are a qualified candidate.
Reno County prohibits employment of family members when such employment will create a situation where one person is in the direct chain of command and supervises, manages, or will be supervised or managed by another family member. Family members are defined as spouses, biological parents, children and siblings, in-laws, grandparent, grandchildren, aunt, uncle, niece, nephew, adoptive parents, children and siblings who share (or have shared) the same household, step-parents, step-children, and step-siblings who share (or have shared) the same household, or individuals with whom an employee has a close personal relationship such as domestic partners, cohabitants, and significant others. Employees are expected to disclose relationships covered by this policy whenever they come into existence.
4/13/2018 12:00:00 AM