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Charge Master Analyst

4 months ago

Nashville, Tennessee, United States HCA Healthcare Full time

Description

Introduction

Do you want to join an organization that invests in you as a Charge Master Analyst? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Charge Master Analyst like you to be a part of our team.

Job Summary and Qualifications

The Charge Master Analyst is responsible for maintaining the daily workflow approval process to update client facility charge masters, while ensuring that all charge masters remain compliant with applicable federal and state guidelines, as well as any standards set forth by clients. This individual collaborates with facility personnel, CFO's and Division CFO's, under the guidance of the Charge Master Manager to ensure facility charge masters are updated and maintained timely and that accurate charging and coding is reported with patient billing.

What you will do in this role:

  • Analyze all facility and Supply Chain requests for additions, modifications, and inactivation's to client facility charge masters as compared to client and regulatory standards.
  • Maintain daily workflow approvals or rejections of these submissions.
  • Monitor all client facility charge masters to ensure compliance with, federal, state, and client specific standards.
  • Ensure all approved requests are entered accurately and timely into the client Health Information System (HIS) and that the entries flow from the client HIS to the HCA Patient Accounting system.
  • Ensure appropriate updates to client facility charge masters are made with quarterly HCPCS and annual CPT coding changes, as needed.
  • Stays abreast of current regulations and industry charging and billing guidelines.
  • Assist with the standardization process for facilities.
  • Coordinate with SSC directors/managers to identify trends and address issues related to claim rejections or payment denials directly associated to billing information generated by the charge master, under the guidance of the Charge Master Manager.
  • Analyze charge master standard exception reports, according to the frequency required by policy, and perform associated analyses and necessary updates.
  • Assist Charge Master Manager with coordination of annual pricing updates with client facility Chief Financial Officers (CFOs), Division CFOs, and staff.
  • Assists, as needed, with data entry, billing/audit questions, facility inquiries, in-service education, database maintenance, statistical analysis and processing of reviews as determined by the Charge Master Manager and Director of Compliance.
  • Ensures proper maintenance of facility charge masters and related processes under the guidance of the Charge Master Manager.
  • Review results of periodic audits and take appropriate action as indicated by the Charge Master Manager and Director of Compliance.
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
  • Other duties as assigned.
What qualifications you will need:
  • A minimum of an Associate's Degree in Nursing or other related clinical profession is required.
  • Equivalent work experience may substitute degree requirement.
  • Minimum of three years related work experience required.
    • Chart/Bill audit experience preferred
    • HCPCS/CPT coding experience preferred.
  • Experience with HCA Patient Accounting, Artiva/ Collections, Meditech, and Smart software is a plus.
  • Certified coding credentials preferred.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals Our Talent Acquisition team is reviewing applications for our Charge Master Analyst opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.