Charge Master Management Analyst

2 weeks ago


Salida, Colorado, United States Heart of the Rockies Regional Medical Center Full time


Remote position available for candidates with a minimum of 2 years of experience in Charge Master management.

KEY RESPONSIBILITIES

  1. Oversee, coordinate, and execute charge master (CDM) initiatives and processes to safeguard revenue management.
  2. Collaborate with clinical departments to enhance charge capture and ensure compliant billing practices.
  3. Advise departments on strategic pricing services.
  4. Provide ongoing training and support for charge entry as necessary.
  5. Review departmental CDM requests to ensure all modifications align with appropriate hospital charging protocols.
  6. Investigate and resolve specific billing discrepancies that require clinical insight and are hindering claims processing and reimbursement.
  7. Conduct audits to identify missing charges.
  8. Facilitate Charge Master Committee meetings to address issues related to annual coding updates, Medicare changes, charge capture opportunities, and pricing strategies.
  9. Act as the primary contact for charge-related inquiries.
  10. Perform market analysis to assess reimbursement and pricing strategies.
  11. Other responsibilities as assigned.
QUALIFICATIONS

To excel in this role, candidates must successfully fulfill each essential duty. The qualifications listed below represent the knowledge, skills, and abilities required. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.
  1. Understanding of the Revenue Cycle, including department charging processes, charge master structures, registration, patient accounting/billing, and reimbursement.
  2. Proficient in computer and technical skills, including Excel, PowerPoint, CPSI, and Rycan.
  3. Strong communication and customer service skills, with the ability to investigate, analyze, and identify problem sources, provide practical solutions, and negotiate resolutions.
  4. Ability to make independent business decisions, considering both customer satisfaction and the overall financial impact on the department and organization.
  5. Capability to handle highly confidential and sensitive information with professionalism, tact, discretion, and integrity.
  6. Ability to work independently and collaboratively, adapt to changing priorities, and demonstrate resourcefulness and effective problem-solving skills.
EDUCATION and EXPERIENCE

A minimum of 3 years of experience as an analyst in a healthcare setting, focusing on charge master, revenue capture, charge auditing, reporting, and reimbursement.

CERTIFICATIONS, LICENSES, REGISTRATIONS

No certifications required.

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