Chargemaster Manager

Infojini Inc; Charlotte (NC); Hybrid; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a detail-oriented professional to oversee the Charge Description Master and ensure compliance with billing and coding regulations. In this hybrid role, you will collaborate with various departments to address revenue loss and compliance issues while maintaining a working knowledge of coding principles. This position offers a dynamic environment where you can leverage your expertise in medical terminology and coding to make a significant impact. If you're ready to take on challenges in a supportive team setting, this opportunity is for you.

Qualifications

• Bachelor's degree in healthcare administration or related field required.
• Must have CPC, CCS, or CCA certifications.

Responsibilities

• Oversee the integrity and compliance of the Charge Description Master.
• Collaborate with various departments to resolve billing and coding issues.
• Act as a liaison to internal and external partners.

Skills

Knowledge of medical terminology

Interpersonal and communication skills

Critical thinking skills

Proficiency in Microsoft Windows applications

Adaptability and flexibility

Experience with PeopleSoft

Experience with Epic

Experience with LIS

Education

Bachelor’s degree in healthcare administration

Bachelor’s degree in business

Bachelor’s degree in related field

Tools

Microsoft Excel

PeopleSoft

Epic

LIS

Job description

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Direct message the job poster from Infojini Inc

Location: Charlotte, North Carolina (Hybrid)

Job Summary:

Responsible for the oversight, integrity, supervision, and maintenance of the Charge Description Master (CDM), charge capture process, and billing and coding regulatory compliance for laboratory services. Must be knowledgeable of current coding practices and identify ways to help address preventable revenue loss. Advise and collaborate with compliance, audit services, IT, Financial Services, and Finance and Revenue Cycle teams to assess and solve billing, coding, and charging compliance issues. Act as a liaison to both internal and external labelling business partners. Position works in a complex matrixed environment.

Job Responsibilities:

1. Maintains a working knowledge of the CD-10 and CPT/HCPCS coding principles and the AMS/CMS documentation guidelines.
2. Works with revenue-producing departments to ensure consistency with charged master and charge capture process including accurate descriptions, coding additions, deletions, pricing, revenue codes, and any other changes.
3. Collaborates with Finance, Revenue Recognition, and Performance Service departments to perform applicable analysis to understand budget variances, net revenue change, and labor impact of proposed changes to chargemaster.
4. Maintains working knowledge of revenue cycles process to aid in the implementation of regulatory standards that assist the organization in cash collection while accurately complying with billing guidelines.
5. Responsible for menu code and coding assignment of all new items or services throughout Laboratory Services.
6. Stays current with applicable government rules and regulations, payer changes and compliance, billing, integrity resources and information.
7. Solves charging and billing problems by researching and analyzing end-to-end workflow across LIS and HRE.
8. Serves as a resource to support problem solving around interface testing, workflow design, charge testing, and other billing and charge-related issues.
9. Acts as a laboratory subject matter expert by identifying and evaluating CPT code changes, establishing new line items and charges, and providing education to operational leaders.
10. Coordinates with internal lab operations practice managers, central billing office, CBOE, etc. to address operational issues that are contributing to denials.
11. Works deliberately and systematically under pressure and projects confidence and a positive role model attitude. Ability to maintain organization and productivity under heavy workload situations. Exhibits confidence and leadership to the team under pressure situations.
12. Communicates unusual occurrences that may require immediate attention. Documentation is consistent while organized and retrievable.
13. Designs and directs the work of the teams. Selects, coaches, and develops teams. Sets clear expectations to inspire and motivate the team. Manages performance by recognizing achievement, providing feedback, and administering progressive discipline when necessary.
14. May develop and/or recommend operating and capital budgets and control expenditures within approved budget objectives.
15. Responsible for understanding and adhering to the organization's code of ethical conduct and for ensuring that people actions and the actions of employees supervised comply with the policies, regulations, and laws applicable to the organization's business.

Skills:

Required Skills & Experience:

1. Knowledge of medical terminology and anatomy and psychology.
2. Excellent interpersonal and communication skills, including excellent verbal and writing skills.
3. Proven ability to handle multiple tasks and meet deadlines within standards.
4. Adaptable and flexible with the ability to drive and manage change.
5. Proficient in Microsoft Windows applications, including advanced Excel knowledge.
6. Demonstrated use of critical thinking skills to problem solve. Experience working in PeopleSoft, Epic, and LIS.

Education:

Required Education:

Bachelor’s degree in healthcare administration, business, or related field.

Required Certifications & Licensure:

1. Must have Certified Professional Coder (CPC).
2. Certified Coding Specialist (CCS).
3. Certified Coding Associate (CCA).

Seniority Level

Mid-Senior level

Employment Type

Full-time

Job Function

Business Development

Industries

IT Services and IT Consulting