Chargemaster Coordinator

Ochsner Health; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

Ochsner Health seeks a dedicated individual for a role focused on billing accuracy and revenue integrity. This position entails analyzing discrepancies, providing solutions, and ensuring compliance within all billing systems. Candidates should have extensive experience in healthcare finance or related fields, complemented by superior analytical and communication skills.

Qualifications

• 8 years of healthcare or relevant experience required.
• Must possess related professional certifications preferred (e.g., CIA, CPA).
• Experience in clinical, coding, or revenue cycle management preferred.

Responsibilities

• Resolve edits and exceptions and coordinate charge session edits.
• Develop measures to track and monitor charge sessions.
• Provide feedback to Internal Consultants regarding revenue integrity.

Skills

Analytical skills

Problem-solving skills

Communication skills

Interpersonal skills

Time management

Education

Bachelor's degree in Finance, Accounting, Business, or Healthcare Administration

High School diploma or equivalent

Tools

Revenue Integrity software

Patient accounting system

Windows-style applications

Job description

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job researches and analyzes billing and charging errors/edits and identifies, documents and recommends solutions to the root cause of errors/issues. Trains in all Revenue Integrity software, the company's patient accounting system and all applicable billing systems. Participates in meetings related to Revenue Integrity and provides written communication to all applicable stakeholders in order to ensure billing compliance and revenue optimization and makes recommendations to improve revenue processes, maximize efficiency, and serve internal and external customers. Manages special projects as they relate to edit resolution and revenue cycle enhancement and stays current on billing and charging regulations defined by governmental agencies.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job researches and analyzes billing and charging errors/edits and identifies, documents and recommends solutions to the root cause of errors/issues. Trains in all Revenue Integrity software, the company's patient accounting system and all applicable billing systems. Participates in meetings related to Revenue Integrity and provides written communication to all applicable stakeholders in order to ensure billing compliance and revenue optimization and makes recommendations to improve revenue processes, maximize efficiency, and serve internal and external customers. Manages special projects as they relate to edit resolution and revenue cycle enhancement and stays current on billing and charging regulations defined by governmental agencies.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - High School diploma or equivalent OR additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications

Preferred - Bachelor's degree in Finance, Accounting, Business, Healthcare Administration or related field

Work Experience

Required - 8 years healthcare or relevant experience including hospital, clinic, medical office, business services, revenue cycle, insurance industry, information technology and/or consulting.

Preferred - Clinical, coding, or Revenue cycle background and/or experience in other industries with trannsferable skills

Certifications

Preferred - Related professional certification (e.g. CIA, CPA, CISA, CPC, CPC-A, CCS, Epic, etc.)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of required job information.
• Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Strong analytical and operational problem solving skills.
• Ability to conceptualize and develop operational improvement plans in coordination with Internal Consultants.
• Advanced judgment and decision making skills.
• Ability to resolve issues at lowest level and understand when to escalate or change priorities.
• Excellent interpersonal skills.
• Strong time management skills; ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines.

Job Duties

• Resolves edits and exceptions and coordinates the resolution of charge session edits on a timely basis.
• Develops measures to track, trend and monitor charge sessions.
• Provides consistent and clear feedback to the Internal Consultants.
• Seeks ways to enhance professional competency through continuing education, participation in lectures, seminars committee meetings etc., relevant to the industry and creating and maintaining a career map.
• Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Must be able to sit for prolonged periods of time.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

There is no occupational risk for exposure to communicable diseases

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the following areas are not eligible for remote work position : Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Washington,and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

About the company

Ochsner Medical Center, historically also known as Ochsner Clinic, Ochsner Hospital, and Ochsner Foundation Hospital, is a hospital in Jefferson, Louisiana, a short distance from the city limits of New Orleans.

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