Charge Description Master Analyst II

🕒 Junho 11

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Ensemble Health Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

🏢 Corporativo

💰 Private Equity Round em 2022-03

Healthcare Insurance • SaaS • Enterprise

A Ensemble Health Partners é uma das principais fornecedoras de serviços de gestão do ciclo de receita (RCM) para organizações de saúde. Eles oferecem uma solução RCM completa que ajuda hospitais, sistemas de saúde e grupos de médicos afiliados a otimizar seus ciclos de receita, reduzir recusas e pagamentos incorretos, e melhorar as experiências dos pacientes usando uma combinação de gestão especializada e tecnologia avançada. A Ensemble Health Partners utiliza operadores certificados e inteligência artificial para entregar resultados consistentes, melhorar as cobranças e apoiar o crescimento futuro dos provedores de saúde. Eles são reconhecidos por suas parcerias robustas com clientes e pelo compromisso em proporcionar aumento confiável de receita e economia de custos para seus clientes.

Descrição

• Collects, analyzes and delivers data driven results using various tools, sources and systems to communicate and collaborate on client assessments and how to achieve performance goals. • Performs and delivers routine audits and works with internal and external customers to make key decisions, impacting the organization as a whole or individual departments. • Works closely with ancillary departments to establish and maintain positive relations to ensure all goals are achieved • Provides training, guidance and support to all CDM Analysts responding to their questions related but not limited to, processes, maintenance, and status of planned changes or updates to the chargemaster. • Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments • Provides guidance and support to non-clinical and/or clinical departments on questions, processes and the status of planned changes or updates to the chargemaster. • Manages communication of routine and non-routine changes to charging, coding and billing protocols to affected clinical and non-clinical departments. • Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital chargemaster • Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed. • Will collaborate with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives. Groups may include representatives from various clinical areas, Coding, Medical Records, Billing, Compliance and Information Systems • Leads efforts specific but not limited to Quarterly and Yearly updates to ensure compliance with charging and coding. • Performs monthly chargemaster maintenance, routine chargemaster audits, reviewing all changes, communicating with various stakeholders, educating departments and oversight of associated system build validation • Communicate to management the progress of assigned projects and completes work queue tasks as assigned • Performs other duties as assigned

🎯 Requisitos

• 4 year/Bachelor's Degree • Six years of experience in the healthcare industry is required. • Charge Master, EAP and coding experience are highly preferred • Experience in physician and hospital operations, compliance and provider relations • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. • Certifications in patient access or patient accounting. • Coding certification highly preferred • CRCR Required within 9 months of hire

🏖️ Benefícios

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement