Chargemaster Coordinator | Revenue Integrity

UF Health; Jacksonville (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

UF Health in Jacksonville, FL seeks a Chargemaster Specialist to manage CPT/HCPCS coding, APC groupings, and related pricing updates. You will coordinate annual CPT updates, monitor outpatient APCs, and ensure regulatory compliance across departments.

The role requires strong Excel skills, familiarity with billing and reimbursement, and the ability to provide training and reporting to Revenue Integrity leadership. Hybrid options may be available.

Qualifications

• Must be familiar with information systems mapping to ensure codes map to chargemaster to bill.
• Extensive CPT and HCPCS coding, third-party billing and reimbursement experience.
• Ability to read, interpret and distribute regulations to personnel.

Responsibilities

• Validate CPT and HCPCS codes and modifier assignments and APC grouping accuracy.
• Coordinate quarterly chargemaster reviews and annual CPT code updates.
• Monitor outpatient APCs and communicate updates from payer newsletters.
• Develop reports and data for financial impact studies and compliance.
• Assist billing and coding to resolve chargemaster related denials.

Skills

CPT coding

HCPCS coding

Third-party billing

Excel

Policy interpretation

Independent work

Education

High School Diploma or GED

Bachelor's degree in business or healthcare administration

Tools

Word

Job description

Overview

Responsible for managing and maintaining the hospital chargemaster to insure consistency and accuracy in claimsprocessing and data collection. Read, interpret and distribute payer coding and reimbursement information to alldepartments affected to ensure regulatory compliance. Establishes and maintains appropriate internal and external working
relationships, and represents the hospital in a professional manner.

Responsibilities

Responsibilities:

• To validate CPT and HCPCS Level 11 code and modifier assignments, APC grouping appropriateness,missed procedures and insure compliance with all APC mandates and outpatient reporting requirements.
• Coordinatequarterly (or as needed) chargemaster review of pricing versus fee schedule or APC payment. Coordinate the annualupdating of CPT codes. (30%)
  Monitors outpatient procedures and ancillary APCs assigned in the facility to Medicare assigned APC groups.
• Evaluate anyreimbursement change and take appropriate steps in collaboration with the right department to effect resolution of thevariance. (10%)
  Monitors compliance with department, hospital and administrative directives. Develops reports and collects and preparesdata for studies involving outpatient financial impact and profitability. (10%)
  Attends outpatient coding and reimbursement workshops as approved by manager and brings back information to theappropriate departments.
• Communicates all APC updates published in third-party payer newsletters/bulletins and providermanuals to all relevant staff.
• Ensure that everyone has the necessary resources, i.e.: CPT/HCPCS level 11 manuals, fee
  schedules to evaluate their department chargemaster.
• Keep abreast of new technology in chargemaster analysis and otherfuture issues impacting the chargemaster function. (10%)
  Coordinates regular periodic APC/Chargemaster meetings to inform staff of changes in policies and to provide in-servicetraining.
• Establishes controls and review mechanisms to ensure that system changes and procedures are being followedcorrectly.
• Provides and/or arranges for training of department Directors and/or their designee in use of coding within thechargemaster to insure compliance. (10%)
  Responsible for reports, studies, analyses or projects as requested by the Revenue Integrity Manager and/or AssociateAdministrator/CFO. (10%)
  Assist the billing office and the coding department with resolving issues or denials that are chargemaster related.
• Researchbilling, coding and pricing requirements when new procedures and or products are introduced. (10%)
  Insures compliance with all Federal, State and local regulations.
• Works closely with Ancillary Departments with the monitoring of their department chargemasters to insure accurate coding of procedures. (10%)

Qualifications

Required Education

High School Diploma or GED

Preferred Education bachelor's degree in business administration or healthcare administration.

• Minimum Qualification:
  Necessary Skills Must be familiar with Information Systems mapping to insure appropriate codes map tochargemaster to bill.
  Must have an extensive background in CPT and HCPCS coding, third party billing and
  reimbursement.
  Must be able to read, interpret, apply and distribute to appropriate personnel, regulations andinformation obtained from various State and Federal sources.
• Must be able to explain toappropriate personnel how their chargemasters translate into codes that translate intoreimbursement.
  Must be proficient in EXCEL spreadsheets and WORD processing applications.
  Must be able to work independently and use good judgment when making
  decisions/recommendations regarding changes/additions and/or corrections to the
  chargemaster.
• Must be considered a resource to all departments regarding chargeitems/services/procedures.

Required Licensure/Certifications
Licensed to practice nursing or practical nursing in the state of Florida OR Coding Certification