Job details
Job type full-time
Full job description
Senior analyst, chargemaster - (78918)
Position highlights:
Position: senior analyst, chargemaster
Location: skokie il – remote flexibility
Travel: n/a
Full time/part time: full-time
Hours: flexible, business hours
What you will need:
Education: bachelor’s or associate’s degree in healthcare or experience in a related revenue cycle field
Experience:
Knowledgeable of physician and hospital revenue cycle operations, pricing methodologies, cpt-4, hcpcs coding, revenue code assignment, provider-based billing rules and apc/third party payer reimbursement.
The ability to proactively identify, understand and apply government regulatory changes related to procedure service/supply reimbursements for the compliant management of the corporate cdm related to patient charges.
Capability of analyzing cdm charge requests for the hospitals, clinics and medical group with the ability to assign the appropriate revenue code, cpt/hcpcs service/supply codes and apply the pricing methodology for the corporate patient charge fee schedules.
Effective organizational skills with the ability to prioritize and manage multiple assignments and daily responsibilities utilizing verbal, written and good listening skills with the ability to interpret end users’ needs.
Ability to work independently with minimum supervision, have self initiative while being results oriented, communicate effectively with all levels of the organization including senior leadership and department heads.
Knowledgeable and comfort with electronic medical records (epic preferred), and hospital billing functions.
Proficiency in ms office – very advanced in excel
Strong data analytics preferred.
Certification: rhia, rhit, ccs or ccs-p preferred
What you will do:
Consistently and compliantly manages the validity and maintenance of the corporate charge description master (cdm) for the hospitals and medical group.
Responsible for researching and submitting the applicable cdm request documents with detailed instructions to hit for updates to all assigned fields of the procedure master file database and associated patient charge fee schedules in the emr system.
Responsible for coordinating updates to departmental cdm sub-systems including charge routing interfaces, order entry systems specific to patient charge revenue and validating hit`s build through their testing to production.
Provides confirmation and/or cdm charge code education back to the performing department in regards to cdm code availability, system functionality and correct charge practices based on payer policy and coding guidelines.
Collaborates with the revenue cycle leaders and chargemaster manager on general maintenance of the on-line cdm request management system, generation of related management reports.
Answers questions from all areas of operations pertaining to cdm set up accuracy, cdm charge availability for charge capture processes and any pricing requested of the cdm department.
Northshore university healthsystem (northshore) is an integrated healthcare delivery system consistently ranked a top 15 major teaching hospital in the u.sHeadquartered in evanston, illinois, northshore comprises five hospitals (evanston, glenbrook, highland park, skokie and swedish), 140 medical group and specialty care offices, and more than 3,000 physicians, serving over 635,000 patientsThe organization supports academics and research as the principal teaching affiliate for the university of chicago pritzker school of medicineRecognized for nursing excellence, northshore is a magnet designated organization-the first system in illinois to receive this prestigious honorNorthshore has an established reputation and employs over 12,500 people.
When you work for northshore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.northshore.org) to better understand how northshore delivers on its mission `to preserve and improve human life` through superior clinical care, academic excellence and innovative research.
Northshore is committed to working with and providing reasonable accommodation to individuals with disabilitiesPlease refer to the main career page for more information.
Eoe: race/color/sex/sexual orientation/ gender identity/religion/national origin/disability/vets, vevrra federal contractor.
Job posting: oct 7, 2021, 9:09:52 am
