Sr. Charge Analyst

OhioHealth • Columbus, OH

2d • Onsite

About The Position

This position is responsible for planning and oversight of Charge Analysts performance of essential department accountabilities, including reporting to department leadership about goal status. The incumbent is also responsible for select charge master management and to implement special projects related to new hospitals, departments, services, and information systems. This position will coordinate and collaborate the above actions with, but not limited to, patient care departments, the Central Business Office, Health Information Management, Information Systems, Managed Care, Corporate Finance & Financial Reporting, and Ethics & Compliance.

Requirements

• Bachelor's Degree (Required)
• CCS - Certified Coding Specialist - American Health Information Management Association, RHIA - Registered Health Information Administrator - American Health Information Management Association
• Certification in at least one of the following RN, CPC, CPC-H, CCS, CCS-P, RHIA.
• Ability to read, analyze, and interpret regulations related to federal, state, and managed care billing.
• Advanced knowledge of hospital operations & revenue cycle functions and interdependencies from the point of scheduling to collection of the final bill.
• Working knowledge of reimbursement methodologies in an integrated healthcare delivery system (APCs, physician fee schedule, ASC, etc. )
• Audit Experience.
• 5 + years Experience in charge master management.
• Experience in project management and leading teams of a long-term duration.
• Knowledge of clinical and financial applications for documentation, billing, coding and patient accounting.
• Proficiency using software for modeling, reporting, and database management.

Responsibilities

• Planning and monitoring: Organizes work of Charge Analysts to accomplish essential department functions including but not limited to CDM reviews, audits, and implementation of new or changed charging regulations associated with participation in the Medicare & Medicaid programs. Includes planning, assessing workload, making assignments among Charge Analysts, monitoring to schedule, and reporting to department leadership.
• Represent Department: Functions as department leader on interdisciplinary teams involving new departments, care sites, or information system projects. Directs department resources to complete accountabilities assigned to the department. Ensures that department goals properly addressed by interdisciplinary team. Ensures that accountabilities of the Charge Analysts are successfully completed on schedule.
• Associate Education & Mentoring: Provides ongoing feedback, coaching and support. Orientates new Charge Analysts, provides education on the fundamentals and principals of chargemaster management. Develops policies & procedures, work flows, and tools to monitor department accountabilities.
• Goal Accomplishment: Completes advanced chargemaster goals involving non-central Ohio business units, on-hospital facilities, research of new technology, reimbursement methodologies, compliance regulations, etc. Implements functionality, processes, or supports which advance the abilities and services offered by the department.
• Special Projects: Assist manager and director with special projects, which are typically non-routine in nature, and are completed in addition to routine responsibilities.
• Chargemaster Development: Develop and maintain charge description masters for central Ohio operations. Research federal, state, and non-governmental requirements to assign compliant billing codes for each payer. Determine patient prices in accordance with principals of chargemaster standardization, governmental and non-governmental reimbursement methodologies, and with awareness of uninsured or non-covered patients. Ensure that each chargemaster is comprehensive for all department services.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior