Chargemaster Coordinator hour per week Revenue Integrity

Minimum Hiring Wage:From $67,662.40 a year

Job Details:Scheduled Hours: Day Shift

Job Description:

A Brief Overview

Responsible for maintaining and optimizing the health system's charge description master (CDM), ensuring compliance with industry regulations, maximizing revenue integrity, and supporting accurate billing practices. This role involves collaboration with clinical, financial, and administrative teams to ensure proper charge capture and reimbursement.

What you will do

Maintain and update the chargemaster to ensure accuracy and compliance with CPT, HCPCS, revenue codes, and overall pricing. Ensure that all CPT/HCPCS codes are accurate for each item in the CDM with input from respective ancillary department leader and appropriate source documentation.

Analyze Medicare charge data and conduct peer charge comparisons for benchmarking.

Conduct regular audits of charge descriptions, coding, and billing practices to identify improvement opportunities.

Collaborate with clinical departments to ensure proper charge capture and documentation.

Research Federal and State regulations for issues effecting CDM coding and prepare summary of issues for Health System and department management.

Ensure all routine CDM Change Requests are processed within 2 business days of request. Ensure all CDM Change Requests for large projects (more than 15 items) are processed within 7 business days of receipt.

Ensure the description of the service or supply accurately reflects the intent of the CPT/HCPCS code.

Ensure that the health system price was calculated according to health system policies and exceptions documented.

Ensure that all items in the CDM meet governmental billing regulations and department and health system policies.

Assist in tracking and accountability for charge reconciliation and revenue cycle optimization.

Oversight, analyze and verification of EHR charge procedures – accuracy, build, testing, and operational implementation.

Investigate and resolve charge discrepancies resulting from various audit entities. Engage expert outside CDM consulting firm to review the integrity of the health system CDM annually.

Meet individually with each revenue producing department leaders and/or designees to review that department’s CDM comprehensively for accuracy and appropriateness of charges and with review any new regulatory changes (e.g. CPT & other updates) at minimum once per year.

Coordinate and schedule department-specific educational webinars/training sessions for department leaders and designees in order to ensure expert level understanding of respective charging conventions. Work with department leaders and/or designees to ensure they have the information, education and tools necessary to meet the charge posting, charge reconciliation and charge exception turn-around requirements in accordance with health system policy.

Supports third party vendors tied to Revenue Integrity work.

Qualifications:

Qualifications

Bachelor’s Degree in Arts/Sciences (BA/BS) Bachelor’s Degree in business, finance or health related field, or equivalent combination of education and experience in a health care field required. Required

Epic certification in at least one module or the ability to obtain certification as directed by EPIC. Required

4-6 years Experience in healthcare business or clinical operations Required

1-3 years Prior Chargemaster experience Required

1-3 years Proficiency in computer data and analysis Required

1-3 years Experience using Microsoft Office products Required

Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

Understanding written sentences and paragraphs in work related documents.

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

Teaching others how to do something.

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

The ability to listen to and understand information and ideas presented through spoken words and sentences.

The ability to communicate information and ideas in speaking so others will understand.

The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

The ability to speak clearly so others can understand you.

The ability to identify and understand the speech of another person.

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

Competitive base pay

Matching retirement programs

Health, Dental and Vision plans

Health Savings and Flexible Spending Accounts

Employee discounts including car rental, cell-phone plans

Employer-paid, Long-Term Disability, Life, and AD&D

Paid time off (PTO)

Education Assistance Program

Employee Assistance Program

Employee Referral Bonus Program

Discounted cafeteria meals

Paid Parental Leave

Employee Service Recognition program

Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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