Charge Master Analyst

Duties

This position will also train clinical staff in coding procedures and ensures coding and charge descriptions are compliant with industry standards, legal mandates, and reporting requirements. The accuracy of medical coding, charge descriptions, and hospital rates, as well as maximizing insurance reimbursement are other responsibilities. This position is responsible for creating and maintaining the charge description master file based on correct CPT/HCPC coding and established charge methodology.

Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness. Reviews include observance of operational procedures, documentation reviews, validation of data entry and final data capture and other aspects of operational audits.

Ensures accurate clinical charges, descriptions, and billing codes in the charge master. Ensures accurate crosswalk of charge master details with Epic clinical systems used for charge capture and clinical documentation.

Ensures compliance with pricing policy/practice. Performs annual and ongoing price changes.

Leads revenue enhancement projects, which includes working with denials management team, annual price analysis, organizational-wide project to standardize charges.

Manages communication of routine changes to coding, billing, and clinical departments.

Other duties as assigned

All required education is a minimum requirement. Higher levels of education are acceptable. Bachelor s Degree
- Healthcare related discipline is Required.

CPC, RHIT or RHIA, or in pursuit thereof is required. EPIC Resolute Hospital Billing Charging Certification Or

EPIC Resolute Professional Billing Revenue Integrity;
Charge Capture and Coding is preferred.

5 Years Coding/Billing experience preferred in health care industry, with specific experience typically obtained as a Coder and 3 Years Prior experience with EPIC CDM, EAP and coding for HB and PB is required

Candidates residing in the following states will be considered for remote employment:
Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.