Required: Registered Nurse (RN) license
The Reimbursement Specialist II concurrently reviews medical records and follows up with communication and education to physicians, case managers, coders, nursing staff and other caregivers in order to facilitate comprehensive documentation accurately reflecting clinical treatment, clinical decisions, diagnoses, and support capture of charges for care rendered in the department. The Reimbursement Specialist will enter information in the appropriate software to determine facility level and procedural charges.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Alliance is one of the largest Catholic health care systems in the Midwest. Franciscan Alliance takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- Required: Registered Nurse (RN) license
- Documentation Improvement Quality and Accuracy Responsible for improving the overall quality and completeness of clinical documentation. Ensures documentation meets quality standards and that an accurate reflection of the patient status and clinical treatment is entered into the medical record.
- Medical Record Review Reviews and interprets medical records. Communicates with physicians, nurses, case managers and other caregivers related to documentation opportunities.
- Quality Review Works with Quality, Core Measure Abstractors, Health Information Coders, and uses CMS resources to identify patient care components related to the quality measures for CMS submission. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Refers quality issues to appropriate resource.
- Trend Analysis Identifies trends and opportunities for documentation improvement. Summarizes and analyzes performance and impact of clinical documentation improvement program.
- Charge Leveling As required, enters patient information into charging software to determine charge level and procedural charges.
QUALIFICATIONS
- Required: Registered Nurse (RN) license or
- Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS)
- Required: Associate's Degree in healthcare related field
- Preferred: Master's Degree in healthcare related field
- Required: If CCDS, 2 years of additional applicable experience
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
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What We Do
The Franciscan Alliance healthcare ministry began in Lafayette, Ind., in 1875. Today, Franciscan Alliance is one of the largest Catholic health care systems in the Midwest with 12 hospital campuses in Indiana and Illinois, approximately 20,000 employees and a number of nationally recognized Centers of Health Care Excellence. Hospitals include: Franciscan Health Crown Point, Franciscan Health Michigan City, Franciscan Health Crawfordsville, Franciscan Health Lafayette East, Franciscan Health Indianapolis, Franciscan Health Carmel, Franciscan Health Rensselaer, Franciscan Health Mooresville, Franciscan Health Hammond, Franciscan Health Dyer, Franciscan Health Munster and Franciscan Beacon Hospital in Indiana; and Franciscan Health Olympia Fields in Illinois. For more information, visit FranciscanHealth.org.
With more than 850 primary and specialty care providers at over 260 locations in Indiana and Illinois, Franciscan Physician Network is one of the largest and most respected multi-specialty physician networks in the Midwest providing convenient, comprehensive care
