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    ProMedica Health System
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Position SummaryResponsible for all revenue for hospital departments to which they are assigned, as well as ensuring compliant billing.Accountabilities

Responsible for research, review, and timely processing of requests from facility departments for new chargecodes

Works NCCI edits related to assigned departments

Responsible for reviewing Medicare, Medicaid, and other payer guidelines (if needed) to ensure billing compliance

Educates and oversees charging in delegated departments to identify issues that cause late bills or non-compliant charging

Responds to yearly audit requests from audit companies as needed; assists with other Revenue Integrity projects as needed

Prepares yearly updates for CMS changes effective on the first day of every year including education to delegated departments

Provides feedback to upper management re: issues that affect timely, compliant billing. Acts as a resource to resolve charge questions for other areas in the billing office or clinical departments

Performs other duties as assigned

Job Requirements:

Bachelor’s Degree in Finance or related field, OR Three Year RN Degree

Experience with Microsoft Office products: Outlook, Word, Advanced Excel skills, and Powerpoint. Webi reporting, Epic Experience

5 years billing office experience; Chargemaster experience strongly preferred

License: Based on Education/Degree Achieved

Certification: Based on Education/Degree Achieved

Must have previous experience in use of CPT/HCPCS codes for outpatient departments with a solid understanding of medical terminology, HCPCS/diagnosis codes, charging, and revenue

Problem solver/ self-starter, detail oriented

Strong financial analytic abilities preferred

Must be able to function both independently and as a team member

Competent with computers and office applications, especially Excel

Strong organization skills and ability to multitask and prioritize on a daily basis

Excellent communication and interpersonal skills

Committed to providing excellent customer service

ProMedica is a mission-based, not-for-profit health and well-being organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 49,000 employees, 13 hospitals, 2,500+ physicians and advanced practice providers with privileges, 1,000+ healthcare providers employed by ProMedica Physicians, a health plan, and 330+ assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. For more information about ProMedica, please visit www.promedica.org/aboutus. Requisition ID: 51820

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