Analyst – Charge Master

🔥 10 minutes ago

🍑 Georgia – Remote

🍑 Georgia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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Northeast Georgia Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Northeast Georgia Health System is a healthcare organization dedicated to improving the health of the community it serves. With a presence that includes 5 hospitals, 6 urgent care locations, and more than 110 doctor's offices, imaging centers, cancer treatment centers, and laboratories, the system offers a comprehensive range of medical services. It provides career opportunities in various areas, including nursing, allied health, and support services, as well as residencies and fellowships for healthcare professionals. The organization is committed to its mission through adherence to core values, offering employee benefits, and engaging in community activities. With locations providing access to both metropolitan and natural amenities, it emphasizes quality of life for employees and residents in Northeast Georgia.

📋 Description

• Assess, coordinate and manage charge capture and reconciliation processes from charge creation through clean claim submission • Improve revenue management and ensure charge capture process integrity • Collaborate with revenue cycle and department leadership to meet regulatory requirements • Coordinate new services and products for revenue cycle purposes • Identify, review and build charges within the EMR and CDM • Select appropriate charge generation models • Maintain a compliant charge description master file • Conduct routine charge capture audits and implement suggested changes • Interact with clinical and ancillary departments to ensure charge codes accurately reflect services • Lead reviews and maintenance of Hospital and Physician Charge Masters • Monitor changing industry requirements, regulations, fraud alerts and advisory opinions • Coordinate communication regarding regulatory or payer changes with impacted leaders • Investigate and advise on professional/technical billing, coding and regulatory documentation requirements • Assess audit and monitoring trends and coordinate mitigation activities • Research third-party payer regulations and ensure compliance with federal, state and local payer regulations and hospital contracts • Participate on committees as assigned • Perform other duties as assigned

🎯 Requirements

• Certification in healthcare compliance (HCAA or AAPC's certification) and/or Coding Certification (RHIA, RHIT, CPC or CCS) • Minimum five (5) years demonstrated administrative skills in Coding, CDM/Charge Master, Finance, or medical records • Demonstrated experience working with hospital charging processes • Extensive experience/knowledge in revenue cycle processes • Extensive experience in effective problem-solving skills, project management skills, and conflict resolution skills • Preferred: Bachelor's Degree from an accredited college or university in Healthcare Administration • Preferred experience with APC reimbursement, CMS rules and regulations, coding and billing compliance • Working knowledge of OPPS, HCPCS and CPT-4 coding schemes • Experience in multi-hospital organizations • Epic experience • Ability to incorporate regulatory requirements and perform data input, analysis and QA • Ability to interpret, analyze, develop, direct and implement large-scale implementations and projects • Ability to identify and redesign inefficient workflows and processes • Excellent written and verbal communication skills, including conflict resolution • Strong interpersonal skills • Superior analytical and problem-solving skills • Ability to work independently or with minimal supervision • Excellent analytical skills for pricing, revenues and reimbursement analysis • Excel and/or Access proficiency

🏖️ Benefits

• Equal Opportunity Employer • Opportunities to reach personal and professional goals • Team investment in employees as people

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