Charge Description Master Analyst II

🕒 il y a 8 jours

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Ensemble Health Partners

Site WebLinkedInTous les Emplois

5001 - 10000 employés

⚕️ Assurance santé

☁️ SaaS

🏢 Entreprise

💰 Private Equity Round en 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners est un leader dans la fourniture de services de gestion du cycle de revenus (RCM) pour les organisations de santé. Ils offrent une solution RCM de bout en bout qui aide les hôpitaux, les systèmes de santé et les groupes de médecins affiliés à optimiser leurs cycles de revenus, réduire les refus et les sous-paiements, et améliorer l'expérience des patients grâce à une combinaison de gestion experte et de technologie avancée. Ensemble Health Partners s'appuie sur des opérateurs certifiés et l'IA pour fournir des résultats constants, améliorer les recouvrements et soutenir la croissance future des prestataires de soins de santé. Ils sont reconnus pour leurs solides partenariats clients et leur engagement à offrir une augmentation fiable des revenus et des économies de coûts pour leurs clients.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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