Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Charge Description Master Analyst I will analyze and conduct financial reviews to ensure charge capture accuracy and comprehensiveness while collaborating with various departments to enhance revenue cycle goals.
Responsibilities
- Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness
- Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits
- Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff
- Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master
- Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation
- Ensures compliance with pricing policy
- Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master
- Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees
- Working with groups, also develops new areas of review for future revenue enhancement
- Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals
- Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient
- Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved
- Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master
- Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments
- Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance
- Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow
Skills
- 1 to 3 years of previous experience in a similar role
- Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness
- Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits
- Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff
- Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master
- Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation
- Ensures compliance with pricing policy
- Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master
- Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees
- Working with groups, also develops new areas of review for future revenue enhancement
- Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals
- Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient
- Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved
- Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master
- Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments
- Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance
- Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow
- CRCR, required within 9 months of hire (company paid)
- Experience in the healthcare industry
- Charge Master, EAP and coding experience are highly preferred
- Experience in physician and hospital operations, compliance and provider relations
- Epic Certification preferred
- AAPC, or similar certification preferred
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Company Overview
Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices. It was founded in 2014, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is https://ensemblehp.com.
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