Sr. Charge Analyst

OhioHealth; Columbus (OH); In loco; USD 80.000 - 120.000; Tempo pieno

Descrizione del lavoro

OhioHealth in Columbus, OH is seeking a Charge Master Analyst Manager to oversee Charge Analysts, coordinate with patient care departments and the Central Business Office, and report progress to department leadership. This role guides chargemaster development across central Ohio operations and supports new hospitals, services, and information systems.

The ideal candidate has a Bachelor’s degree, CCS and/or RHIA credentials, at least 5 years in chargemaster management, and proven project

Competenze

• Bachelor's Degree and professional credentials (CCS or RHIA) required.
• 5+ years in chargemaster management with process improvement experience.
• Experience leading teams and managing projects in a healthcare revenue cycle.

Mansioni

• Plan and monitor chargemaster activities and schedules.
• Lead department efforts on interdisciplinary projects and system implementations.
• Provide coaching and orientation for Charge Analysts; develop policies and procedures.
• Drive advanced chargemaster goals across hospital operations and new sites.
• Assist with special non-routine projects as requested.
• Develop and maintain chargemaster descriptions; ensure payer coding compliance.

Conoscenze

Leadership

Project management

Coaching/Mentoring

Data analysis

Formazione

Bachelor's Degree (Required)

CCS - Certified Coding Specialist

RHIA - Registered Health Information Administrator

Strumenti

Database management software

Reporting tools

Modeling software

Descrizione del lavoro

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary:

The position is responsible for planning and oversight of Charge Analysts performance of essential department accountabilities, including reporting to department leadership about goal status. The incumbent is also responsible for select charge master management and to implement special projects related to new hospitals, departments, services, and information systems. This position will coordinate and collaborate the above actions with, but not limited to, patient care departments, the Central Business Office, Health Information Management, Information Systems, Managed Care, Corporate Finance & Financial Reporting, and Ethics & Compliance.

Responsibilities And Duties:

• 1. 25% Planning and monitoring: Organizes work of Charge Analysts to accomplish essential department functions including but not limited to CDM reviews, audits, and implementation of new or changed charging regulations associated with participation in the Medicare & Medicaid programs. Includes planning, assessing workload, making assignments among Charge Analysts, monitoring to schedule, and reporting to department leadership.
• 2. 20% Represent Department: Functions as department leader on interdisciplinary teams involving new departments, care sites, or information system projects. Directs department resources to complete accountabilities assigned to the department. Ensures that department goals properly addressed by interdisciplinary team. Ensures that accountabilities of the Charge Analysts are successfully completed on schedule.
• 3. 15% Associate Education & Mentoring: Provides ongoing feedback, coaching and support. Orientates new Charge Analysts, provides education on the fundamentals and principals of chargemaster management. Develops policies & procedures, work flows, and tools to monitor department accountabilities.
• 4. 15% Goal Accomplishment: Completes advanced chargemaster goals involving non-central Ohio business units, on-hospital facilities, research of new technology, reimbursement methodologies, compliance regulations, etc. Implements functionality, processes, or supports which advance the abilities and services offered by the department.
• 5. 15% Special Projects: Assist manager and director with special projects, which are typically non-routine in nature, and are completed in addition to routine responsibilities.
• 6. 10% Chargemaster Development: Develop and maintain charge description masters for central Ohio operations. Research federal, state, and non-governmental requirements to assign compliant billing codes for each payer. Determine patient prices in accordance with principals of chargemaster standardization, governmental and non-governmental reimbursement methodologies, and with awareness of uninsured or non-covered patients. Ensure that each chargemaster is comprehensive for all department services.

Minimum Qualifications:

• Bachelor's Degree (Required)
• CCS - Certified Coding Specialist - American Health Information Management Association, RHIA - Registered Health Information Administrator - American Health Information Management Association

Additional Job Description:

• Certification in at least one of the following RN, CPC, CPC-H, CCS, CCS-P, RHIA.
• Ability to read, analyze, and interpret regulations related to federal, state, and managed care billing.
• Advanced knowledge of hospital operations & revenue cycle functions and interdependencies from the point of scheduling to collection of the final bill.
• Working knowledge of reimbursement methodologies in an integrated healthcare delivery system (APCs, physician fee schedule, ASC, etc. ) Audit Experience .
• 5 + years Experience in charge master management.
• Experience in project management and leading teams of a long-term duration.
• Knowledge of clinical and financial applications for documentation, billing, coding and patient accounting.
• Proficiency using software for modeling, reporting, and database management.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Charge Analysis

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pre