Details Department: Revenue CycleSchedule: Full-Time, Monday-FridayLocation: Remote
Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

 

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.

Responsibilities Review payments received from payers against contracted rates, fee schedules, and expected reimbursement amounts to identify payment variancesCompare claims data with payer contracts, including CPT, ICD-10, and HCPCS codes, to ensure payment compliance.Identify root causes of payment variances, such as coding errors, incorrect payer adjudication, contract misinterpretations, missed modifiers, etc.Analyze trends and payer policies to pinpoint systemic issues leading to payment variancesCommunicate with payers to resolve payment disputes to ensure accurate reimbursement.Ensure payers adhere to contract terms, including timely payments and agreed-upon reimbursement rates.Maintain up-to-date knowledge of payer contracts, fee schedules, and regulatory changes (e.g., CMS updates, ICD-10 revisions).Use RCM software to generate reports on payment variance trends, aging, and rates.Track key performance indicators (KPIs) like underpayment recovery rate to support revenue cycle optimization.Work with coding, billing, and denials management teams to address errors contributing to payment variances.Provide feedback to improve front-end and mid-cycle processes, such as charging and coding accuracyContribute to the development of payer performance reports to assist in contract negotiations and terms
Requirements

Licensure / Certification / Registration:

Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.

Education:

High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.3 years of leadership or management experience preferred.
Additional Preferences Hospital Experience

#InternalOps

#LI-Remote

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

 

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

 

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

 

For further information, view the  EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

 

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

 

Pay Non-Discrimination Notice

 

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

 

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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