Senior Manager, Hospital and Professional Chargemaster

The Christ Hospital Health Network

About The Position

The Christ Hospital Health Network (TCHHN) Senior Manager of Hospital/Professional Chargemaster is responsible for setting the strategic vision and directing, overseeing, ensuring, and coordinating chargemaster operations across the integrated healthcare system. Operations include but are not limited to: charging, revenue integrity and chargemaster functions. In addition, this position has direct responsibility for quality and compliance activities within span of control and ensuring compliance with national and state law, payer requirements, and TCHHN policy. The Senior Manager of Hospital/Professional Chargemaster develops, maintains, and reports on the chargemaster ensuring data integrity between the chargemaster and individual department’s pricing schedules. The critical responsibilities include maintaining Epic charge description master including updates, setting new charges, reviewing for compliance, and making recommendations for optimizing reimbursement as well as maintaining competitive pricing. This includes collaborating with clinical and non-clinical leaders to ensure appropriate usage of charge codes, regulating chargemaster compliance to requirements from governing bodies and assisting revenue-generating departments with pricing, charge capture, coding, and billing questions. The Revenue Integrity manager is responsible for maintaining the fee schedules and distributing to clinical and non-clinical leaders. Responsibility will also include revenue integrity initiatives to capture loss revenue as well as CDM analytics.

Responsibilities

Setting the strategic vision and directing, overseeing, ensuring, and coordinating chargemaster operations across the integrated healthcare system.
Ensuring compliance with national and state law, payer requirements, and TCHHN policy.
Developing, maintaining, and reporting on the chargemaster.
Ensuring data integrity between the chargemaster and individual department’s pricing schedules.
Maintaining Epic charge description master including updates, setting new charges, reviewing for compliance, and making recommendations for optimizing reimbursement.
Maintaining competitive pricing.
Collaborating with clinical and non-clinical leaders to ensure appropriate usage of charge codes.
Regulating chargemaster compliance to requirements from governing bodies.
Assisting revenue-generating departments with pricing, charge capture, coding, and billing questions.
Maintaining the fee schedules and distributing to clinical and non-clinical leaders.
Leading revenue integrity initiatives to capture loss revenue.
Performing CDM analytics.