Senior Charge Master Analyst - Revenue Cycle Operation Support (Galveston)
Company: UTMB Health
Location: Galveston
Posted on: August 6, 2022
|
|
Job Description:
Minimum Qualifications: Bachelor's degree in Finance, Business
Administration, Health Care Administration, Nursing, or related
field, or equivalent broad proven practical experience in
healthcare revenue management and 4 years' related experience
required. Job Summary: Oversees the integrity of the Charge
Description Master (CDM) and maintains responsibility for updates
to charge codes within the CDM. The Senior Analyst monitors quality
and key metrics to ensure all activities are being completed by the
CDM team in a timely and accurate manner. Oversees daily
maintenance, regular updates, and price impact analyses and
facilitates all changes implemented in the CDM. Works closely with
the School of Medicine and Health System department managers,
Revenue Cycle Operations (RCO), and the Revenue Integrity
department to ensure accurate and timely charging, recommend
process improvements, and maximize gross revenue. Job Duties:
Oversee processing of CDM requests to ensure that all additions,
changes, and deletions are consistent with proper charging,
billing, coding, and pricing practices in a timely manner.
Facilitate analysis of the CDM to ensure accurate assignment of
CPT/HCPCS and revenue codes to the Charge Master to comply with
regulatory practices. Provide assistance and analysis to all levels
of clinical management in support of suggested, requested and/or
mandated changes to the CDM. Facilitate charge router logic review
with Revenue Integrity and Coding counterparts to ensure accurate
assignment of charges for services performed. Develop and maintain
policies and procedures for CDM maintenance, pricing updates, and
charge capture processes. Facilitate new department POS
recommendations. Conduct annual review of the CDM and quarterly
updates as appropriate. Ensure the Charge Master Analysts provide
excellent customer service to departments and respond in a timely
manner to all charge inquiries, updates, and requests for charge
form set-up and assistance. Maintain excellent relationships with,
and serve as liaison among RCO, Health System departments, School
of Medicine departments and Finance team. Identify new coding
sequences, as needed, for new services. Evaluate recommended charge
protocols for given procedures in conjunction with reimbursement.
Take initiative to identify system and/or operational problems and
participate in streamlining charging workflows and optimizing
current charging practices to increase revenue. Distribute coding
and billing regulatory requirements and/or announcements to all
applicable departments. Serve as a subject matter expert to Charge
Master Analysts and the Revenue Integrity department for efforts to
maintain the CDM and improve operational workflows. Hire and mentor
Charge Master Analysts to support this function, conduct quality
and productivity reviews of staff members, and provide feedback on
performance. Provide frequent updates to leadership on staff
performance, department charging issues, and current process
improvement initiatives. Knowledge/Skills/Abilities: Excellent
understanding of multiple clinical disciplines and charging
practices. Excellent ability to understand and interpret
statistical reports and perform quantitative analysis. Knowledge of
state and federal regulations as they pertain to billing processes
and procedures. Knowledge of the principles of Information Systems
to effectively analyze and make decisions, preferably with
proficiency in Epic. Basic knowledge and understanding of Medicare
RBRVS fee schedule, Medicare Hospital APC/OPPS fee schedules, and
hospital UB revenue codes. Skill in effective oral, written, and
interpersonal communication. Skill in problem solving in a variety
of settings and translation of data into actionable steps. Skill in
time management and project management. Ability to work efficiently
under pressure. Preferred Licenses, Registrations, or
Certifications: Certified Coding Associate (CCA), Certified Coding
Specialist (CCS), or Certified Coding Specialist - Physician-based
(CCS-P) certification from AHIMA; or Certified Professional Coder
(CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder
(CIC), or Certified Professional Coder - Payer (CPC-P)
certification from AAPC. Successfully complete General Compliance
Coder testing. Salary Range: Actual salary commensurate with
experience. Equal Opportunity Employment: UTMB Health strives to
provide equal opportunity employment without regard to race, color,
religion, age, national origin, sex, gender, sexual orientation,
gender identity/expression, genetic information, disability,
veteran status, or any other basis protected by institutional
policy or by federal, state or local laws unless such distinction
is required by law. As a VEVRAA Federal Contractor, UTMB Health
takes affirmative action to hire and advance women, minorities,
protected veterans and individuals with disabilities. #UTMB
#UTMBHEALTH
Keywords: UTMB Health, Galveston , Senior Charge Master Analyst - Revenue Cycle Operation Support (Galveston), Professions , Galveston, Texas
Click
here to apply!
|