NorthShore

RN Coding Reimbursement Specialist

NorthShore • $74K — $115K *
Naperville, IL 60540In-Person
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • BSN preferred
  • Active RN License in Illinois
  • 2+ years in clinical or healthcare revenue cycle role
  • Experience in charge review or revenue cycle management within clinical settings preferred
  • Knowledge of billing, coding, and charge capture regulations
  • Familiarity with CPT codes
  • Strong analytical and communication skills

Responsibilities

  • Review and analyze charges for services across clinical departments
  • Verify charges align with clinical documentation and ensure accurate coding
  • Collaborate with clinical staff to ensure documentation supports service charges
  • Perform charge reconciliation to ensure accuracy in the billing system
  • Ensure compliance with healthcare regulations and internal policies
  • Notify leadership of trends and opportunities for improvement
  • Identify and streamline charge capture workflows

Benefits

  • Annual performance-based increases
  • Career pathways for professional development
  • Comprehensive medical, dental, and vision options
  • Tuition reimbursement program
  • Free parking available
  • Wellness program savings plan
  • Health savings account options
  • Retirement plans with company match
  • Paid time off and holiday pay
  • Opportunities for community involvement
Full Job Description
Hourly Pay Range:
$36.00 - $55.80 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

RN Coding Reimbursement Specialist

We are seeking a detail-oriented and highly skilled RN Charge Review Analyst to oversee and ensure the accuracy of facility charging for various clinical departments, including but not limited to the Emergency Room (ER), Immediate Care Centers, Cancer Center and Infusion Services. This position plays a critical role in reviewing and validating charges for services rendered, ensuring compliance with healthcare regulations, payer requirements, and internal policies. The RN Charge Review Analyst will work closely with clinical and billing teams to optimize revenue cycle performance while maintaining high standards of patient care and operational efficiency.

Position Highlights:
  • Position: RN Coding Reimbursement Specialist
  • Location: Edward Hospital (Naperville, IL)
  • Full Time/Part Time: Full Time
  • Hours: Monday-Friday, 7:00am-3:30pm
  • Required Travel: travel to other Endeavor Health locations may be required


What you will do:
  • Charge Review & Validation
    • Review and analyze charges for services provided in various clinical departments.
    • Verify that charges align with clinical documentation and ensure proper coding and charge capture for all services.
    • Identify discrepancies or errors in charging and collaborate with clinical and billing teams to resolve issues in a timely manner.
  • Clinical Documentation & Charge Reconciliation
    • Collaborate with healthcare providers and clinical staff to ensure accurate and complete clinical documentation that supports the charges for services rendered.
    • Perform charge reconciliation to ensure that all patient encounters are accurately reflected in the billing system and are in compliance with payer guidelines.
  • Compliance & Regulatory Oversight
    • Ensure all charges are compliant with healthcare regulations, and internal policies, including HIPAA and other relevant healthcare standards.
    • Assist in audits of clinical charges to ensure appropriate reimbursement and regulatory compliance.
  • Reporting & Data Analysis
    • Notify leadership of identified trends and opportunities for improvement.
    • Provide feedback and recommendations to clinical leadership and management on charge capture efficiencies and best practices.
  • Collaboration & Communication
    • Serve as a liaison between clinical departments, billing teams, and leadership to address charge-related issues and improve processes.
    • Provide education and training to clinical staff regarding charge capture, documentation requirements, and compliance standards.
  • Process Improvement
    • Identify opportunities to streamline and improve charge capture workflows, reducing errors and enhancing overall revenue cycle performance.
    • Participate in ongoing process improvement initiatives to enhance the accuracy and timeliness of billing processes.


What you will need:
  • Education: BSN, preferred
  • Certification: Active RN License in Illinois
  • Experience:
    • 2+ years of experience in a clinical or healthcare revenue cycle role, with a strong understanding of facility charging, coding, and billing processes.
    • Experience in charge review or revenue cycle management within an Emergency Room, Immediate Care Center, Cancer Center or Infusion Services setting preferred.
  • Unique or Preferred Skills:
    • Knowledge of regulatory requirements related to billing, coding, and charge capture.
    • Familiarity with CPT codes.
    • Strong attention to detail and analytical skills.
    • Excellent communication skills and the ability to work collaboratively with clinical and billing teams.
    • Proficiency with electronic health records (EHR) and billing software systems.
    • Ability to interpret clinical documentation and align it with appropriate charges.


Benefits (For full time or part time positions):
  • Opportunity for annual increases based on performance
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities


About NorthShore

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Join NorthShore’s dynamic team to assist some of the most respected companies in navigating their paths to digital mastery and operational excellence. Elevate industries and transform business processes with the brightest minds at NorthShore. This company stands at the forefront of technology, combining industry expertise with a commitment to digital innovation. Lead with a distinct advantage in the marketplace, harnessing NorthShore’s unique blend of technology insight and deep industry knowledge. Engage with a global network of business and technology advisors dedicated to guiding clients through their transformation journeys. Collaborate with a robust team of professionals, making NorthShore a powerhouse of knowledge and capability in the tech industry.

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Be part of NorthShore’s extensive network of experts, where innovation meets deep industry expertise and digital strategy.

Drive Innovative Solutions

Deliver targeted, innovative solutions that leverage the most trusted enterprise platforms, backed by a wealth of consulting experience and a commitment to forward-thinking.

Join a Stellar Team

Engage in projects utilizing a wide array of Microsoft technologies, and leverage the combined capabilities, global reach, and collaborative spirit of NorthShore’s team.

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Learn more about NorthShore
Size
11 employees
Industry
Business Services
* Ladders Estimates

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