Nebraska Methodist Hospital-posted 11 days ago
Full-time • Mid Level
Onsite • Omaha, NE
1,001-5,000 employees

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri, 7:00am to 4:00pm Responsible for maintaining the charge master on a compliant, standardized, and efficient basis as well as performing analyses to understand the reimbursement impact of proposed charge master changes. This position reports to the Senior Reimbursement Manager with a collaborative working relationship with other Finance Division staff and also works with other department and affiliate employees.

  • Supervise Charge Services Assistant personnel including direct involvement in hiring, orienting/training, counseling and evaluating performance.
  • Maintain charge master and pricing schedules for all patient accounting systems.
  • Provide an electronic audit trail for charge master changes, additions and deletions.
  • Utilize charge master compliance tools to verify compliance with coding and regulations and take appropriate action as indicated.
  • Participate in charge master audits and implement recommended process and charge master changes.
  • Work with the revenue producing departments to perform applicable analyses to understand charge master proposed changes.
  • Inform management of changes in regulations and coding including evaluating the impact to the Health System.
  • Analyze market information and recommend price schedule changes.
  • Assist Senior Reimbursement Manager in formulating and implementing policies and procedures.
  • Proactively research for reimbursement improvements.
  • Provide excellent customer service in response to requests or inquiries from other departments within the Health System, as well as external parties.
  • Participate in testing of patient accounting system code upgrades and new system implementations.
  • Participate in departmental meetings as well as special projects and represent the Finance Division as assigned.
  • Assist with the year-end audit including involvement with the auditors, preparation of audit schedules and support, and responding to inquiries from the auditors.
  • Bachelor degree required or 10 years of work history related to coding/charge master required.
  • Minimum five years related work experience required, preferably in charge master or revenue integrity.
  • Understanding of hospital billing, revenue cycle and reimbursement required.
  • Experience in researching complex coding and regulatory requirements.
  • Familiarity with healthcare information systems and databases is required.
  • Must have a good understanding of the Charge Description Master (CDM) and its relationship to related areas such as the General Ledger, Productivity, Cost Reporting and Budget.
  • A self starter, able to effectively deal with uncertainty and complex situations
  • Strong problem-solving skills
  • Ability to supervise, counsel and evaluate others.
  • Strong financial accounting and analytical skills
  • Excellent verbal and written communication skills
  • Demonstrated ability to effectively work in a team environment
  • Ability to define problems, collect data, establish facts, and draw valid conclusions
  • Excellent project management, time management and organizational skills (ability to manage multiple projects and priorities effectively)
  • Demonstrated relationship management skills
  • Advanced computer proficiency
  • competitive pay
  • excellent benefits
  • great work environment where all employees are valued
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