Charge Master Analyst (Full Time) - Revenue Integrity

Kingman Regional Medical Center•Kingman, AZ

About The Position

The Revenue Integrity Charge Master Analyst is responsible for the oversight of Charge Description Master (CDM) functions and reimbursement analysis within the revenue integrity department. This position will serve as a member of the revenue integrity team and subscribe to the vision, values and expectations. With limited supervision, is responsible for the coordination of the charge master management functions in researching coding and billing guidelines, insurance reimbursement and updating the charge master as appropriate in order to optimize revenue generation, maintain compliance with CMS and third party payer requirements. Provides support and education to departments where additions or corrections are needed to support billing.

Requirements

High School Diploma or Equivalent
Three (3) years’ experience in related filed.
Extensive knowledge of CPT/HCPC, UB-92 and HCFA billing; revenue coding, modifiers, billing regulations and APC reimbursement knowledge a must.
Ability to multi-task and work under aggressive deadlines.
Knowledge and hands on knowledge of Chargemaster (CDM) management with the ability to manage and monitor line by line analysis to update CPT/HCPC and UB revenue codes, and monitor implementation of CDM updates into the hospital system; familiarity with Medicare policies and fiscal intermediary guidelines; ability to perform interviews with hospital staff and provide education/in-services on coding billing.
Experience with auditing 1500 forms and UB92’s for compliance and completeness.
Participate in ongoing coordination and resolution of revenue issues as related to charging.
Maintains timely turnaround of all Chargemaster requests.
Ability to sit for six (6) to seven (7) hours daily at a computer terminal; ability to use computer keyboard; occasionally lifts and carries 11 to 25 pounds of files.

Nice To Haves

Bachelor Degree in Healthcare administration or Business Administration is highly desirable.

Responsibilities

Coordinates monitors and approves all changes made to the Charge Master ensuring that the charge meets CMS / third party payer CPT4/HCPC and revenue center guidelines.
Reviews and studies all information from payer source relative to correct proration of the charges making sure that they appear as covered or non-covered under CMS rules.
Works closely with the billing staff when issues arise with insurance company’s denying or rejecting claim for certain revenue codes to protect reimbursement.
Participates as appropriate with departments and finance in the development of charges and pricing, investigating billing / and coverage guidelines related to new charges; work with effected departments providing education and optimizing reimbursement for the service rendered.
Performs financial analysis audits by reviewing UB92’s to evaluate effectiveness and accuracy of the coding, evaluating the complete revenue management cycle and working closely with the Clinical Nurse Auditors to eliminate and correct issues effecting reimbursement.

Benefits

Exceptional Colleagues
Health and Well-Being
Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
Generous Paid Leave Accruals
403b Retirement Plan with Employer Contributions
Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
Employee Identity Theft Protection
On-site daycare exclusive to our employees’ children of all ages
Employer Paid Employee Wellness Center Membership with fitness classes, personal training, indoor pool, racquetball, and basketball courts
Career Growth and Development
Tuition Reimbursement/Scholarships for full-time employees
As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
So much more!