Charge Master Analyst

Sutter Health•Washington, NV

1d•$85,405 - $160,118•Onsite

About The Position

Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Evaluates changing regulatory and payer requirements, conducting research and analysis, and recommending applicable changes to the CDM. Reviews and updates Charge Description Master in the CDM software and serves as a primary knowledge point of contact in regards to the Charge Description Master. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software. Communicates changes made to the corporate CDM to impacted users / areas. Performs Epic pre-work activities related to the CDM mapping of chargemaster from legacy system to Epic.

Requirements

Bachelor's in Healthcare, Accounting, Math or related field (Equivalent experience will be accepted in lieu of the required degree or diploma).
RHIA-Registered Health Information Administrator OR RHIT-Registered Health Information Technician OR CPC-Certified Professional Coder OR COC- Certified Outpatient Coder OR None
2 years recent relevant experience.
In-depth knowledge of charge master coding requirements including Revenue Codes, Current Procedural Terminology, Healthcare Procedural Coding Systems and modifiers
Familiarity with medical terminology and medical record coding process.
Knowledge of Outpatient Code Editor edits/National correct coding edits.
Knowledge of Revenue Cycle applications, including Electronic Medical Records systems.
Knowledge/ awareness of all areas related to CDM/Charge Capture management functions in acute and non-acute settings and how they interrelate.
Knowledge of principles, methods, and techniques related to compliant healthcare billing.
Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a CDM/Charge Capture function.
Well-developed process design, implementation, and improvement skills.
Accuracy, attentiveness to detail and time management skills.
Aptitude to conceptualize, plan, and implement stated goals and objectives.
Ability to manage own schedule and responsibilities. Must have initiative to work effectively without constant supervision and direction, meeting all deadlines.
Ability to work concurrently on a variety of tasks/projects in a fast paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
High-level problem identification/ mitigation/ resolution, analytical and financial skills.
Ability to develop effective working relationships/ networks within and outside the organization.
Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions.
Ability to recognize the appropriate style, level of detail, and message for the audience.
Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, Microsoft Suite and knowledge of Patient Management information system applications, preferably EPIC.

Responsibilities

Serve as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations.
Ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations.
Evaluate changing regulatory and payer requirements, conducting research and analysis, and recommending applicable changes to the CDM.
Review and update Charge Description Master in the CDM software.
Serve as a primary knowledge point of contact in regards to the Charge Description Master.
Maintain the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Communicate changes made to the corporate CDM to impacted users / areas.
Perform Epic pre-work activities related to the CDM mapping of chargemaster from legacy system to Epic.