IMH Charge Master Coding Analyst

Job Description

Be part of a world-class academic healthcare system,
Ingalls Memorial Hospital
, as a Charge Master Analyst. This position will be primarily onsite. Join us as a Chargemaster Coding Analyst with our Shared Services - Revenue Cycle team in Harvey, IL.

The Chargemaster Analyst is responsible for maintaining the Charge Description Master (CDM) in Soarian Financials the Patient Accounting System, reviewing reimbursement and pricing. The purpose of this position is to maintain the accuracy of CDM line item services for the hospitals, clinics and Medical Group.

• The Chargemaster Analyst will act as a key participant during the annual review of the CDM and meet with clinical managers/department heads.
• In addition, this individual will be responsible for assigning CPT/HCPCS, revenue, and insurance codes for new and updated services.
• The Chargemaster Coding Analyst will also be responsible for maintaining a database of relevant CDM-related regulations (i.e. provider bulletins).
• This position will work closely with management and staff throughout the organization to answer questions, explain charge coding/reimbursement, and solve issues and problems as they arise.

• Perform analysis to understand net revenue effect of proposed charge master changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends.
• Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies.
• Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools.
• Performs annual pricing analysis with recommendations for optimizing revenue opportunities.
• Understand the market place relative to pricing and suggest response to new providers.
• Work with managed care contracting personnel in the development and analysis of contracts with payers.
• Responds to CDM inquiries and requests timely.
• Resolve coding discrepancies.
• Assist with education of departmental staff on changes.
• Report to management on monthly financial results.
• Establish, maintain, and coordinate new charges and CDM process improvements.
• Recommend, develop and maintain financial databases, computer software systems and manual filing systems.
• Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems.
• Utilize knowledge gained from educations programs in everyday work situations.
• Annual General Education test.
• Demonstrates commitment to professional growth and competence.
• Attends all mandatory Departmental and Hospital in-services and meetings.
• Formulates annual written objectives with supervisor.
• Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process.

• Education: BS/BA in a Healthcare or business related field; 5-8 years of related experience in lieu of educational experience.
• Licences/
  
  Certifications:
  
  RHIA, RHITA and/or CCS certification.
• Thorough knowledge of CPT/HCPCS coding required.
• Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred.
• Microsoft Excel and Access skills strongly preferred

Position Details

• Job Type: Full Time (1.0 FTE)
• Shift: Days
• Work Location:
  
  Harvey, IL– Onsite
• Department:
  Revenue Cycle
• CBA Code:
  Non-Union

For nearly a century Ingalls Memorial has pioneered sophisticated clinical care and developed the area's most convenient network of comprehensive outpatient centers, all dedicated to improving the health and wellbeing of the community. Now, partnered with UChicago Medicine, we have expanded our network of expert physicians, convenient facilities and scope of service to speed your healing process and help navigate your path to wellness.

A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality. To accomplish this, we need…