Sutter Health is an award-winning, not-for-profit health system headquartered in Sacramento, California. Comprised of a team of industry leading doctors, hospit
Charge Master Analyst
Location
California + 4 moreAll locations: California | Louisiana | Texas | Utah | Washington
Posted
12 days ago
Salary
$106.7K - $160.1K / year
Seniority
Mid Level
Job Description
Charge Master Analyst
Sutter Health
• Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations • Ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. • Evaluate changing regulatory and payer requirements, conducting research and analysis, and recommending applicable changes to the CDM. • Review and update Charge Description Master in the CDM software and serves as a primary knowledge point of contact in regards to the Charge Description Master. • Maintain the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software. • Communicate changes made to the corporate CDM to impacted users/areas. • Perform Epic pre-work activities related to the CDM mapping of chargemaster from legacy system to Epic.
Job Requirements
- Bachelor's in Healthcare, Accounting, Math or related field
- RHIA-Registered Health Information Administrator OR RHIT-Registered Health Information Technician OR CPC-Certified Professional Coder OR COC- Certified Outpatient Coder OR None
- 2 years recent relevant experience.
- In-depth knowledge of charge master coding requirements including Revenue Codes, Current Procedural Terminology, Healthcare Procedural Coding Systems and modifiers
- Familiarity with medical terminology and medical record coding process.
- Knowledge of Outpatient Code Editor edits/National correct coding edits.
- Knowledge of Revenue Cycle applications, including Electronic Medical Records systems.
- Knowledge/awareness of all areas related to CDM/Charge Capture management functions in acute and non-acute settings and how they interrelate.
- Knowledge of principles, methods, and techniques related to compliant healthcare billing.
- Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a CDM/Charge Capture function.
- Well-developed process design, implementation, and improvement skills.
- Accuracy, attentiveness to detail and time management skills.
- Aptitude to conceptualize, plan, and implement stated goals and objectives.
- Ability to manage own schedule and responsibilities.
- Must have initiative to work effectively without constant supervision and direction, meeting all deadlines.
- Ability to work concurrently on a variety of tasks/projects in a fast paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
- High-level problem identification/mitigation/resolution, analytical and financial skills.
- Ability to develop effective working relationships/networks within and outside the organization.
- Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions.
- Ability to recognize the appropriate style, level of detail, and message for the audience.
- Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, Microsoft Suite and knowledge of Patient Management information system applications, preferably EPIC.
Benefits
- Yes
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