Job Requisition: CHARG001759
Employment Type: Full-Time
Shift: Days
Hours per Week: 40
Hiring Range: $79,476.80-$109.470.40
The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities:- Maintains the chargemaster by incorporating new charges/services identified by departments, third-party changes, special requirements and coding updates
- Conducts annual reviews of the chargemaster to identify codes that have been deleted, added or replaced and ensures required updates to code descriptions
- Ensures organizational compliance to federal, state and local regulations as well as governmental and commercial payer guidelines as related to charge codes and chargemaster
- Identifies services that are not being coded but are technically reimbursable and discusses these services and codes with the reporting manager to determine suitable action
- Holds meetings to educate department managers, physicians and other staff on changes to existing charge codes, validation of inactive codes and the development of new codes
- Audits chargemaster changes, maintains a detailed trail of these changes and communicates any change to all applicable departments
- Participates in third-party charge audits with other dedicated teams and assists in inquiries related to chargemaster
- Investigates CPT codes, revenue codes and other issues and resolves disputes within a stipulated time frame
- Supports clinical units in charge capture, coding accuracy and revenue management
- Monitors organizational uniformity in the application of charge codes for similar products and procedures
- Prepares and provides management reports as requested
- Performs related duties such as cost accounting, cost management, volume analysis functions and special projects as necessary
Minimum Qualifications:Bachelor's degree in business administration, accounting, management, healthcare administration or related field required. Minimum of Five (5) years of experience in health information management and billing required. Minimum of three (3) years of experience in chargemaster maintenance preferred.
Required Skills/abilities:- Demonstrated knowledge of coding systems, including ICD, CPT and HCPCS codes.
- Knowledge of industry pricing standards and third-party reimbursement policies.
- Strong understanding of healthcare billing, charge development and reimbursement processes, as well as hospital cost accounting, management, and reporting practices.
- Ability to stay apprised of healthcare regulatory and compliance requirements, particularly regarding Medicare.
- Adept in financial analysis and data representation.
Certifications / Licensure- Coding certifications preferred.
Required Skills and Attributes- Must be able to multitask while remaining professional, focused, composed and positive.
- Excellent customer service skills
- Displays integrity, friendliness, and compassion.
- Must be able to establish an appropriate and effective rapport with others.
- Demonstrates flexibility
- Takes initiative
- Able to work in a fast-paced environment
- Embraces new opportunities to grow both personally and professionally.
- Effective critical thinking and problem-solving skills.
- Proficient with various Microsoft Office products (Word and Excel).
- Strong organizational skills.
- Effective interpersonal skills.
- Ability to take and follow direction in a positive and appropriate manner.
- Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.
- Must be able to speak, read, write and follow instructions in English.
- Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.
