Clinical Coding and Compliance Analyst
5 days ago
**Job Overview:** Charge Reconciliation Manager
TAL Healthcare is seeking a highly skilled Charge Reconciliation Manager to join our team. In this role, you will be responsible for maintaining a positive relationship with assigned departments, ensuring they follow charge reconciliation processes and meet key performance indicator metrics.
**Responsibilities:*
- Ensure charges are built correctly in the CDM and integrated with clinical charging mechanisms.
- Audit and provide feedback on charge capture tools.
- Oversight of Department charges and KPIs, ensuring they meet budget and determining root cause if not.
- Train departments on charge capture tools, rules, regulations, CPT/HCPCS updates, and workflows.
- Monitor, investigate, and resolve revenue integrity concerns and violations reported in their area and provide necessary follow-ups.
- Serve as a resource for organizational and operational revenue integrity issues.
- Communicate and lead CDM maintenance activities.
- Work RI WQs, monitor department WQs. Provide feedback based on WQ volumes, audit outcomes, and daily charge statistics.
- Validate/test/audit charge triggers to ensure systems are working as expected.
- Keep abreast of healthcare industry trends.
**Requirements:*
- Bachelor's degree from an accredited college in business administration or healthcare.
- 3+ years' experience in a healthcare business setting, including full scope revenue cycle, charging, and performance benchmarking.
- Effective communication skills and ability to interact with others positively.
- Ability to manage multiple concurrent activities.
- Working knowledge of healthcare coding and billing rules and regulations.
- Strong analytical and organizational skills.
- Computer skills essential. Microsoft Office and healthcare software (ex: Epic, Meditech) at a minimum.
**Compensation Package:** $100,000 - $120,000 per year, including a comprehensive benefits package and opportunities for professional growth and development.
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