Charge Description Master Analyst II

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Ensemble Health Partners

WebsiteLinkedInAlle Stellen

5001 - 10000 Mitarbeiter

⚕️ Krankenversicherung

☁️ SaaS

🏢 Unternehmen

💰 Private Equity Round im 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners ist ein führender Anbieter von Revenue Cycle Management (RCM) Dienstleistungen für Gesundheitseinrichtungen. Sie bieten eine umfassende RCM-Lösung, die Krankenhäuser, Gesundheitssysteme und angeschlossene Ärztegruppen dabei unterstützt, ihre Umsatzzyklen zu optimieren, Ablehnungen und Unterbezahlungen zu reduzieren und Patientenerfahrungen durch eine Kombination aus fachkundigem Management und fortschrittlicher Technologie zu verbessern. Ensemble Health Partners nutzt zertifizierte Fachkräfte und KI, um konsistente Ergebnisse zu liefern, die Einnahmen zu steigern und zukünftiges Wachstum für Gesundheitsdienstleister zu unterstützen. Sie sind bekannt für ihre starken Kundenpartnerschaften und ihr Engagement, zuverlässige Umsatzsteigerungen und Kosteneinsparungen für ihre Kunden zu gewährleisten.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

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