Charge Master Analyst

HCA•Dallas, TX

73d•Remote

About The Position

The Chargemaster Analyst is responsible for maintaining the daily workflow approval process to update client facility chargemasters, while ensuring that all chargemasters 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 Chargemaster Manager to ensure facility chargemasters are updated and maintained timely and that accurate charging and coding is reported with patient billing.

Requirements

A minimum of an associate's degree in nursing or other related clinical profession is required. Equivalent work experience may substitute for a degree requirement
Minimum of three years' related work experience required.

Nice To Haves

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.

Responsibilities

Analyze all facility and Supply Chain requests for additions, modifications, and inactivation's to client facility chargemasters as compared to client and regulatory standards.
Maintain daily workflow approvals or rejections of these submissions.
Monitor all client facility chargemasters 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 chargemasters 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 with billing information generated by the chargemaster, under the guidance of the Chargemaster Manager.
Analyze chargemaster standard exception reports, according to the frequency required by policy, and perform associated analyses and necessary updates.
Assist Chargemaster 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 Chargemaster Manager and Director of Compliance.
Ensure proper maintenance of facility chargemasters and related processes under the guidance of the Chargemaster Manager.
Review results of periodic audits and take appropriate action as indicated by the Chargemaster Manager and Director of Compliance.

Benefits

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.