Charge Description Master Analyst I

CAREER OPPORTUNITY OFFERING

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position starts at $57,400.00. Final compensation will be determined based on experience.

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

The CDM Analyst I analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness

Job Competencies:

Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.
Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All”
Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.

Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
Developing Trust - Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.
Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.

Essential Job Functions:

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

• 1 to 3 years of previous experience in a similar role

• Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness

• Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits

• Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff

• Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master. Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation

• Ensures compliance with pricing policy

• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master

• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees

• Working with groups, also develops new areas of review for future revenue enhancement

• Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals

• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient

• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved

• Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master

• Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments

• Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance.

• Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Other Preferred Knowledge, Skills and Abilities:

• Experience in the healthcare industry.

• Charge Master, EAP and coding experience are highly preferred

• Experience in physician and hospital operations, compliance and provider relations

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Certifications:

• CRCR, required within 9 months of hire (company paid)

• Epic Certification preferred

• AAPC, or similar certification preferred