Charge Description Master Analyst II

Role Overview

• Collects, analyzes and delivers data driven results using various tools, sources and systems to communicate and collaborate on client assessments and how to achieve performance goals.
• Performs and delivers routine audits and works with internal and external customers to make key decisions, impacting the organization as a whole or individual departments.
• Works closely with ancillary departments to establish and maintain positive relations to ensure all goals are achieved
• Provides training, guidance and support to all CDM Analysts responding to their questions related but not limited to, processes, maintenance, and status of planned changes or updates to the chargemaster.
• Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments
• Provides guidance and support to non-clinical and/or clinical departments on questions, processes and the status of planned changes or updates to the chargemaster.
• Manages communication of routine and non-routine changes to charging, coding and billing protocols to affected clinical and non-clinical departments.
• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital chargemaster
• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed.
• Will collaborate with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives.
• Leads efforts specific but not limited to Quarterly and Yearly updates to ensure compliance with charging and coding.
• Performs monthly chargemaster maintenance, routine chargemaster audits, reviewing all changes, communicating with various stakeholders, educating departments and oversight of associated system build validation
• Communicate to management the progress of assigned projects and completes work queue tasks as assigned
• Performs other duties as assigned

Requirements

• 4 year/Bachelor's Degree.
• Combination of post-secondary education and experience will be considered in lieu of degree
• Six years of experience in the healthcare industry is required.
• Charge Master, EAP and coding experience are highly preferred
• Experience in physician and hospital operations, compliance and provider relations
• Certifications in patient access or patient accounting.
• Coding certification highly preferred
• CRCR Required within 9 months of hire

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement