Charge Master Analyst Lead - Revenue Integrity

Christus Health; Texarkana (TX); In loco; USD 90.000 - 120.000; Tempo pieno

Descrizione del lavoro

CHRISTUS Health seeks a Charge Master Analyst Lead to ensure accurate patient billing aligned with governmental policies and CHRISTUS compliance while guiding a team and managing enterprise CDM updates. The role emphasizes researching procedures, software, and equipment to optimize revenue through accurate charge capture and reduced denials.

The candidate will oversee the CDM maintenance process across regions, coordinate code updates with leadership, and drive education on CDM changes, ensuring

Competenze

• High school diploma or equivalent years of experience required.
• 5-7 years of experience in Hospital Billing, Compliance and Audit preferred.

Mansioni

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Responsible for the Charge Description Master (CDM) maintenance process for the CHRISTUS enterprise including ongoing updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.
• This includes the upkeep of mapping tables from legacy CDM to CHRISTUS standard CDM.
• Coordinate the interaction with Regional Leadership and Directors regarding the implementation of new or revised codes.
• Coordinate the research, analysis, and education of CDM changes as appropriate.
• Coordinate revenue capture and charge audit procedures with regional patient financial services, hospital information management (HIM), information services and regional department directors and/or managers Oversee the development of policies and procedures to ensure CDM updates are appropriately identified, adhere to necessary regulations and standards, are reviewed, approved and communicated to appropriate regional staff and implemented in a timely manner.
• Ensures accurate patient billing according to governmental policies and CHRISTUS compliance.
• Serves as Project Manager for all ministries regarding revenue related projects.
• Oversees vendor projects and access.
• Lead and oversees immediate day-to-day functions of Charge Master Analyst II.
• Understands and implements current pricing strategies.

Conoscenze

Billing integrity

Regulatory compliance

Formazione

High School Diploma or Equivalent

Descrizione del lavoro

The Charge Master Analyst Lead will be responsible for ensuring accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policies for the enterprise while leading others and overseeing projects. This includes maintaining the integrity of 44M in Revenue. This will also include researching alternative procedures, software, and equipment designed to improve operational effectiveness through comparison to comprehensive AMA/CPT and HCPCS service, drug, and supply item grids as potential billable services. Provides charge description master expertise and advice related to charging description master management with the goals of attaining reimbursement accuracy, reducing denials, and maintaining regulatory compliance. The Charge Master Analyst Lead is an internal subject expert. Internal consultant to revenue-producing departments. Additionally, the Charge Master Analyst Lead will be responsible for the complete CDM maintenance process for all regions including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Responsible for the Charge Description Master (CDM) maintenance process for the CHRISTUS enterprise including ongoing updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.
• This includes the upkeep of mapping tables from legacy CDM to CHRISTUS standard CDM.
• Coordinate the interaction with Regional Leadership and Directors regarding the implementation of new or revised codes.
• Coordinate the research, analysis, and education of CDM changes as appropriate.
• Coordinate revenue capture and charge audit procedures with regional patient financial services, hospital information management (HIM), information services and regional department directors and/or managers Oversee the development of policies and procedures to ensure CDM updates are appropriately identified, adhere to necessary regulations and standards, are reviewed, approved and communicated to appropriate regional staff and implemented in a timely manner.
• Ensures accurate patient billing according to governmental policies and CHRISTUS compliance.
• Serves as Project Manager for all ministries regarding revenue related projects.
• Oversees vendor projects and access.
• Lead and oversees immediate day-to-day functions of Charge Master Analyst II.
• Understands and implements current pricing strategies.

Job Requirements:

Education/Skills

• High school diploma or equivalent years of experience required.

Experience

• 5-7 years of experience in Hospital Billing, Compliance and Audit preferred.

Licenses, Registrations, or Certifications