Senior Chargemaster Analyst
4 weeks ago
At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.If you are seeking a role that makes an impact on healthcare and a Nationally ranked hospital, this is the position for you. The ideal candidate would be someone who is able to manage time efficently and work to meet the needs of demand.The Chargemaster Senior Analyst provides assistance and analysis to all levels of clinical management at Scripps in support of suggested requested and or mandated changes to the Charge Description Master CDM. This support includes development of data analysis and recommendations to minimize negative effects of change. Maintains the Scripps Health facility chargemasters within applicable coding guidelines and Scripps Policies and Procedures assists with bill problem resolution and researches and communicates coverage guidelines for billable services. Works with clinical directors and managers to implement and monitor CDM changes. Provides other support to the Manager Chargmaster as needed.CDM responsibilities include but are not limited to:Monitors and maintains hospital departmental chargemasters to ensure coding and billing accuracy of new and existing service codes.Workingwith clinical directors and managers to implement and monitor CDM changes. Evaluates department requests to insure that all additions, changes and deletions are consistent with proper charging coding practices.Workingwith clinical directors and managers to insures the appropriate bundling or unbundling of charges so that all charges are submitted to result in appropriate reimbursement while following applicable billing reimbursement regulations.Developingreports to monitor compliance with department recommendations. Assists the Patient Financial Services billing personnel in resolving third party payor billing problems.Workingwith the Scripps contracting department and third party payors to resolve problems.Participatingin the pre contract review process to insure that all billing requirements can be met.Workingwith Medicare intermediaries and CMS to clarify billing requirements.Documentingand tracking all communications and instructions received from government agencies. Communicates this information to all applicable departments.Reviewingall Medicare and Medi Cal newletters updates performs periodic review of the CMS Medicare fiscal intermediary web sites to keep abreast of pending changes.Workingwith the Chargemaster Steering Committee and affected departments to proactively creates plans to adopt and or implement changes.ReviewingMedicare intermediary Medi Cal California Workers Compensation and other third party payor bulletins to keep current on billing requirements.Communicatingthis information to all applicable departments through each facility’s chargemaster task force team.Senior Analysis duties include but are not limited to:Initiatingdevelop and establish facility specific and regional models for financial analyses as related to requested and mandated changes to the chargemaster.Developingreports to evaluate the reimbursement effect of third party payor contract proposals as requested by the facility Fiscal Directors and or financial analysts.Providinganalytical support related to reimbursement and billing to facility Fiscal Directors and or financial analysts.Developingimplements and monitors the chargemaster database systems which enable corporate wide management reporting on financial and operational data.Providinganalyses for corporate level reimbursement projects as requested by the facility’s Fiscal Director Financial Analyst or PFS Management.Creatingconcise relevant accurate financial and statistical data in support of finance projects as requested.This is a Full Time (80 hours every two weeks) benefited and salaried position. Located at Scripps Corportae offices in San Diego.
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