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RN Coding Reimbursement Specialist

$36 - $55.8 per hour

2000 Edward Elmhurst Healthcare

Position Overview RN Coding Reimbursement Specialist Hourly Pay Range: $36.00 - $55.80. The hourly rate is based on expertise, experience, and other factors. Location: Edward Hospital, Naperville, IL. Full‑time. Monday‑Friday, 7:00am‑3:30pm. Travel to other Endeavor Health locations may be required. What you will do Charge Review & Validation: analyze charges for services in clinical departments; verify alignment with documentation and ensure proper coding and capture. Identify and resolve discrepancies in charging in collaboration with clinical and billing teams. Clinical Documentation & Charge Reconciliation: collaborate with providers and staff to ensure accurate documentation and perform charge reconciliation per payer guidelines. Compliance & Regulatory Oversight: ensure all charges comply with regulations, HIPAA, and internal policies; assist in charge audits for reimbursement and regulatory compliance. Reporting & Data Analysis: notify leadership of trends and improvement opportunities; provide recommendations on charge capture efficiencies and best practices. Collaboration & Communication: serve as liaison between clinical departments, billing teams, and leadership; provide education and training on charge capture, documentation, and compliance. Process Improvement: identify opportunities to streamline charge capture workflows and participate in ongoing process improvement initiatives. What you will need Education: BSN (preferred). Certification: Active RN License in Illinois. Experience: 2+ years in a clinical or revenue‑cycle role with facility charging, coding, and billing experience; experience in ER, Immediate Care, Cancer Center, or Infusion Services preferred. Skills: Knowledge of regulatory requirements for billing and coding; familiarity with CPT codes; strong attention to detail and analytical skills; excellent communication and collaboration abilities; proficiency with EHR and billing software; ability to interpret clinical documentation and align it with appropriate charges. Benefits (Full‑time or Part‑time) Opportunity for annual increases based on performance. Career pathways for professional growth and development. Comprehensive medical, dental, vision, pet coverage, and tuition reimbursement. Free parking and wellness programs. Health savings account options, retirement with company match. Paid time off, holiday pay, and community involvement opportunities. Equal Opportunity Employer Endeavor Health is an equal opportunity employer. Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets/VEVRRA Federal Contractor. We are committed to providing reasonable accommodation to individuals with disabilities. #J-18808-Ljbffr 2000 Edward Elmhurst Healthcare

Vacancy posted 3 days ago
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