Charge Services Analyst III - Hospital Rev Cycle - Remote

Alaska Native Tribal Health Consortium (ANTHC); Anchorage (AK); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

On-Site Training Courses

Professional Development Opportunities

Education Assistance

Tuition Discounts

Job summary

Alaska Native Tribal Health Consortium (ANTHC) seeks a Charge Analyst III to support the EHR and revenue cycle teams in Cerner Chargemaster management and coding accuracy. You will resolve charges, edits, denials and maintain the CDM with billing codes and fee schedules.

You will collaborate with multiple departments, monitor daily reports, ensure compliance with regulations and payer requirements, and contribute to ongoing optimization of charge services applications.

Qualifications

• Experience with CPT/HCPCS codes and revenue codes.
• Knowledge of Cerner Chargemaster and billing processes.
• Proficiency in Microsoft Excel and large datasets.
• Associate degree in business/finance or related field.

Responsibilities

• Maintain and standardize CDM using charge services applications.
• Support EHR and revenue cycle teams to resolve charges and denials.
• Assist Cerner Chargemaster deployment, optimization and ongoing operations.
• Monitor daily reports and correct encounters per clinical feedback.
• Ensure compliance with regulations and third-party payer requirements.

Skills

CPT/HCPCS knowledge

Cerner charge services

Microsoft Excel

Data analysis

Billing processes

Education

Associate’s Degree in business, finance or related discipline

Tools

Cerner software

SoftLab

SoftAR

Billing systems

Job description

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.

ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.

Our vision: Alaska Native people are the healthiest people in the world.

ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• License and certification reimbursements and occupational insurance for medical staff.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

Visit us online at www.anthc.org or contact Recruitment directly at [e-mail].

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.

Summary

Under general supervision, utilizing charge services applications to maintain a complete, accurate and standardized CDM, with uniform data elements and consistency with clinical practice.

Responsibilities

Supports the EHR team, clinical staff and revenue cycle teams in resolving issues related to charges and CDM setup; billing, edits, denials, etc; to ensure proper payment.

Support the alignment, optimization and deployment of the Cerner Chargemaster, including collaboration, implementation, stabilization and ongoing operational functions.

Responsible for maintenance of additions/changes/deactivations to Chargemaster codes in Cerner, including billing codes, descriptions, and fee schedules. Monitors data for anomalies and notifies stakeholders as appropriate.

Responsible for monitoring and distributing daily reports to specific groups within the organization to review and determine if corrections need to be made. Corrects encounters as instructed based on clinical review and feedback.

Keeps current with all governmental regulations and commercial requirements related to the CDM and charging.

Works with various departments and clinical service areas to maintain compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.

All

Supports the EHR team, clinical staff and revenue cycle teams in resolving issues related to charges and CDM setup; billing, edits, denials, etc; to ensure proper payment.

Support the alignment, optimization and deployment of the Cerner Chargemaster, including collaboration, implementation, stabilization and ongoing operational functions.

Responsible for maintenance of additions/changes/deactivations to Chargemaster codes in Cerner, including billing codes, descriptions, and fee schedules. Monitors data for anomalies and notifies stakeholders as appropriate.

Responsible for monitoring and distributing daily reports to specific groups within the organization to review and determine if corrections need to be made. Corrects encounters as instructed based on clinical review and feedback.

Keeps current with all governmental regulations and commercial requirements related to the CDM and charging.

Works with various departments and clinical service areas to maintain compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.

Charge Analyst III

Works closely with the EHR analysts on new locations builds, order, careset, form builds.

Responsible for maintaining other charge service applications including SoftLab and SoftAR. These responsibilities include submitting monthly invoices, posting payments, adjustments, providing monthly billing reports to leadership, building new lab codes, maintaining the pricing structure including annual updates in SoftAR.

Responsible for building supplies and working our SN Freetext report, which includes researching the supplies in Nuvia and building them in Cerner and HDM.

Works with chargemaster audit requests, coding/clinic corrections, and projects as needed.

Other Information

Knowledge of CPT/HCPCS codes, revenue codes.

Understanding of Charge Description Master, its impact throughout the revenue cycle, and contribution to revenue management.

Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.

Knowledge of Cerner charge services applications.

Knowledge in relevant computer applications including Microsoft Office programs, Word, Excel manipulating large datasets (500,000+), Cerner and other electronic records applications.

Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.

Demonstrate Initiative, Excellent Time Management Skills, And Organizational Capabilities.

Demonstrate the ability to manage multiple projects and meet deadlines.

KNOWLEDGE And SKILLS

All

• Knowledge of CPT/HCPCS codes, revenue codes.
• Understanding of Charge Description Master, its impact throughout the revenue cycle, and contribution to revenue management.
• Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
• Knowledge of Cerner charge services applications.
• Knowledge in relevant computer applications including Microsoft Office programs, Word, Excel manipulating large datasets (500,000+), Cerner and other electronic records applications.
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
• Demonstrate initiative, excellent time management skills, and organizational capabilities.
• Demonstrate the ability to manage multiple projects and meet deadlines.

Charge Analyst II & III

• Advanced level knowledge of CPT/HCPCS codes, revenue codes.
• Advanced knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
• Advanced knowledge of Cerner applications.
• Advanced knowledge in relevant computer applications including Microsoft Office programs, Word, Excel manipulating large datasets (500,000+), Cerner and other electronic records applications.
• Strong understanding of Charge Description Master, its impact throughout the revenue cycle, and contribution to revenue management.
• Strong interpersonal communication and presentation skills, effectively presenting information to management, facility groups, and individuals.

MINIMUM EDUCATION QUALIFICATION

Charge Services Analyst II &III

An Associate’s Degree in business, finance or related discipline. Progressively responsible related work experience may be substituted on a year-for-year basis for college education.

Minimum Experience Qualification

Charge Services Analyst III

Non-supervisory – Seven (7) years of experience working in a medical office performing medical billing processes. An equivalent combination of relevant education and/or training may be substituted for experience.