Sr. Charge Analyst

OhioHealth; United States; Hybrid; USD 85,000 - 110,000; Full time

Job summary

OhioHealth is seeking a Charge Analyst to oversee essential department accountabilities, coordinate with care sites and information systems, and manage chargemaster activities. The role includes planning, audits, and implementing new charging regulations across multiple units.

The candidate should have a Bachelor’s degree with CCS and RHIA certifications and at least 5 years in chargemaster management, plus project leadership experience in a complex healthcare setting.

Qualifications

• Bachelor's degree required.
• CCS and RHIA certifications required.
• Certification in RN, CPC, CPC-H, CCS, CCS-P, or RHIA preferred.
• 5+ years experience in chargemaster management.
• Knowledge of regulations and reimbursement methodologies.
• Proficiency with modeling, reporting, and database software.

Responsibilities

• 25% Planning and monitoring: Organizes work of Charge Analysts to accomplish essential department functions including CDM reviews, audits, and implementation of new or changed charging regulations.
• 20% Represent Department: Leads interdisciplinary teams and ensures department goals are addressed and tasks completed on schedule.
• 15% Associate Education & Mentoring: Provides coaching, orients new Charge Analysts, and develops policies and workflows.
• 15% Goal Accomplishment: Completes advanced chargemaster goals across units and departments.
• 15% Special Projects: Assists with non-routine projects alongside routine duties.
• 10% Chargemaster Development: Develops and maintains charge descriptions, ensures payer codes, and standardizes pricing.

Skills

Project management

Team leadership

Billing regulations knowledge

Data analysis

Cross-functional collaboration

Education

Bachelor's Degree

CCS - Certified Coding Specialist

RHIA - Registered Health Information Administrator

Job description

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:

This 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:

• 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.
• 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.
• 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.
• 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.
• 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.
• 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

Join us!

if your passion is to work in a caring environment … if you believe that learning is a life-long process … if you strive for excellence and want to be among the best in the healthcare industry

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, pregnancy, disability, marital status, familial status, or other characteristics protected by law.

Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

WE Are Inspired to Do Our Best. OhioHealth is a nationally recognized, innovative healthcare system delivering world-class patient care in a supportive, professional environment filled with limitless opportunities to learn and grow.

OhioHealth is recognized as a Great Place to Work CertifiedTM organization. The Great Place to Work is a global authority on high-trust, high-performance workplace cultures. This recognition is one measure of our success in achieving a part of our vision to be an organization "where people want to work."