Reimbursement Specialist - Healthcare jobs in Macon, GA

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Clinical Documentation Improvement Specialist (CDI)
  • Houston Healthcare
  • Warner, GA FULL_TIME
  • The Clinical Documentation Improvement (CDI) Specialist performs concurrent review of the inpatient medical record throughout the patient stay in order to ensure that the clinical documentation reflects the patient’s severity of illness and quality of care.  The CDI Specialist communicates with physicians, clinicians, Coding and HIM professionals, nursing staff and Care Management to ensure timely and accurate documentation and provides training and education as needed.  The CDI Specialist will also perform focused reviews as directed by the department supervisor.

     

     

    Graduate of an accredited School of Nursing or completion of an accredited coding program.

     

     

    Three (3) years of clinical experience as a registered nurse in an acute care setting; OR three (3) years’ experience certified coding for the acute care inpatient setting.

     

     

    Current nursing licensure by the Georgia State Board of Nursing or Certified Coding Specialist (CCS) or Certification in Clinical Documentation Improvement Practitioner. (CCDS/CDIP).

     

     

    Excellent interpersonal skills to interact effectively with all levels of hospital personnel.  Working knowledge of healthcare reimbursement methodologies.  Working knowledge of coding conventions, including DRG and ICD10 coding.  Effective verbal and written communications, analytic skills, organization and prioritization skills.

     

    Successful candidates will be subject to criminal background and drug screens.

    EOE/AA/Females/Minorities/Veterans/Disabled

     

  • 27 Days Ago

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DHS/DFCS - Social Services Specialist 1 - 00208955
  • Social Services Specialist 1 - 00208955 - Team Georgia Careers
  • Madison, GA FULL_TIME
  • TO APPLY PLEASE VISIT THE LINK BELOW DHSJOBS LINK: Social Services Specialist 1 - 00208955 | Job Details tab | Career Pages (governmentjobs.com) Applicants who do not apply using the dhsjobs link prov...
  • 6 Days Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Gray, GA FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 1 Month Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Thomaston, GA FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 1 Month Ago

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Licensed Practical Nurse / Home Healthcare
  • Cross Country Healthcare
  • Macon, GA FULL_TIME
  • Job Description As a licensed practical nurse (LPN), you'll provide patient care under the supervision of a nurse or physician. Working in a hospital, private practice, home health environment or othe...
  • 18 Days Ago

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LPN | Home Healthcare | WEEKEND POSITION
  • Cornerstone Healthcare Services
  • Warner, GA FULL_TIME
  • Cornerstone Healthcare Services is seeking a skilled LPN to assist our patient with at home care in Warner Robins, Ga . Must have experience with spinal cord injury patients. Schedule: Every or other ...
  • 13 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Macon, GA area

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Physical Therapist - Travel Contract
  • Jackson Therapy Partners
  • Macon, GA
  • We're seeking a full time Physical Therapist to provide expert physical therapy to patients with injuries or illnesses t...
  • 4/26/2024 12:00:00 AM

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Occupational Therapist - Travel Contract
  • Jackson Therapy Partners
  • Macon, GA
  • We're seeking a licensed Occupational Therapist for a contract position at a reputable area facility where expert therap...
  • 4/26/2024 12:00:00 AM

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Class A CDL Driver - HOME WEEKLY
  • Shared Imaging
  • Macon, GA
  • Shared Imaging is a privately held organization that has been committed to growing organically and has doubled our reven...
  • 4/26/2024 12:00:00 AM

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Travel Speech Language Pathologist - $2,133 per week
  • Hiring Now!
  • Macon, GA
  • Jackson Therapy Partners is seeking a travel Speech Language Pathologist for a travel job in Macon, Georgia. Job Descrip...
  • 4/25/2024 12:00:00 AM

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Travel Speech Language Pathologist - $2,277 per week
  • Hiring Now!
  • Macon, GA
  • Jackson Therapy Partners is seeking a travel Speech Language Pathologist for a travel job in Macon, Georgia. Job Descrip...
  • 4/24/2024 12:00:00 AM

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Dry Van Regional CDL Truck Driver | $85k Annually $5,000 Transition Bonus | Macon, GA
  • Ruan Transportation Management Systems, Inc.
  • Macon, GA
  • . **Now Hiring** Our mission is to employ the best team in the industry to move our customers' business safely, efficien...
  • 4/24/2024 12:00:00 AM

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Environmental Field Laborer
  • Cascade Environmental Services LLC
  • Macon, GA
  • Environmental Field Laborer ** Environmental Field Laborer** Field Macon, Georgia **Description** *Position at Cascade R...
  • 4/22/2024 12:00:00 AM

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EMT or LPN for Plasma Center
  • Grifols
  • Macon, GA
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/18/2024 12:00:00 AM

Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia." Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,498 to $49,210
Macon, Georgia area prices
were up 1.5% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020