Charge Master Analyst- Remote

UnitedHealth Group•US, Kentucky, KY

5d•$72,800 - $130,000•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. Position in this function is responsible for the oversight of charge description master, billing, and reimbursement analysis within Revenue Integrity. Carries out aggressive program of assessing and improving charging practices across the organization. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

2+ years of relevant experience required in any of the following: billing, charging, Charge Master, coding or health care revenue cycle
2+ years of experience working with CPT/HCPCS, UB-92 Revenue Coding, modifiers, billing regulations, and APCs
2+ years of experience working with Epic Software

Nice To Haves

Proven critical thinking skills and decisive judgment
Proven works under minimal supervision
Demonstrated ability to work in a stressful environment and take appropriate action

Responsibilities

Supervision and coordination of chargemaster and charge capture processes in researching coding and billing guidelines, researching insurance contracts, and updating hospital and professional chargemaster and charge capture processes
Represents Owensboro Health with external vendors (e.g. EPIC)
Works diligently with department heads, supervisors, staff, coders, and patient accounting personnel to continuously improve the goals of enhancing reimbursement, speeding up cash flow, and maximizing fiscal compliance
Works with the revenue producing departments to ensure ongoing coordinated and consistency with the chargemaster and charge capture processes, including accurate descriptions, coding, additions, deletions, pricing, revenue code, and any other changes
Maintains a working knowledge of revenue cycle processes to aid in the implementation of regulatory standards that assists the health system in cash collection while accurately complying with billing guidelines
Works with Finance, Revenue Integrity and Decision Support to perform applicable analyses to understand budget, net revenue change, and labor impact of proposed chargemaster changes
Performs analysis, identifies trends, validates compliance as related to fiscal activities generating additional revenue, reducing bad debt expense and charity write-offs, and overall expense reductions
Distributes Centers for Medicare and Medicaid Services (CMS) updates to health care providers as they relate to billing for drugs and implantable and/or other pass-through eligible items and ensuring the necessary changes are made to the entity specific chargemaster and charge capture updates within the time frame for accurate and compliant billing
Advises and collaborates with the Compliance Officer, Internal Audit, Regulatory Review and Analysis, legal counsel, and outside consultants to analyze, review, and assess identified billing, coding, charging and compliance issues
Revenue codes and coding assignments for all new items or services throughout Owensboro Health
Oversees the overall maintenance and use of the chargemaster tool utilized by Revenue Integrity
Recommends policies and procedures which impacts charge capture and pricing practices