Charge Master Analyst II-Revenue Integrity

Description

Summary :

The Charge Master Analyst II will be responsible for ensuring accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policies for the enterprise. This will include researching alternative procedures, software and equipment designed to improve operational effectiveness through comparison to comprehensive AMA / CPT and HCPCS service, drug, supply item grids as potential billable services. Provides charge description master expertise and advice related to charge description master management with the goals of attaining reimbursement accuracy, reducing denials, and maintaining regulatory compliance. The Charge Master Analyst II is an internal subject expert. Internal consultant to revenue-producing departments. Additionally, the Charge Master Analyst II will be responsible for the complete CDM maintenance process for all regions including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT / HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.

Responsibilities :

Meets expectations of the applicable OneCHRISTUS Competencies : Leader of Self, Leader of Others, or Leader of Leaders.

Responsible for the Charge Description Master (CDM) maintenance process for the CHRISTUS enterprise including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT / HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.

This includes the upkeep of mapping tables from legacy CDM to CHRISTUS standard CDM.

Coordinate the interaction with Regional Leadership and Directors regarding implementation of new or revised codes.

Coordinate the research, analysis, education of CDM changes as appropriate.

Coordinate revenue capture and charge audit procedures with regional patient financial services, hospital information management (HIM), information services and regional department directors and / or managers Oversee the development of policies and procedures to ensure CDM updates are appropriately identified, adhere to necessary regulations and standards, are reviewed, approved and communicated to appropriate regional staff and implemented in a timely manner.

Ensures accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policy.

Job Requirements : Education / Skills

High School diploma or equivalent years of experience required.

Experience

1-3 years of experience in Hospital Billing, Compliance, and Audit preferred.

Licenses, Registrations, or Certifications

Epic Certification Preferred.

Work Schedule : 5 Days - 8 Hours

Work Type : Full Time

EEO is the law - click below for more information :

https : / / www.eeoc.gov / sites / default / files / 2023-06 / 22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

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