Ingalls Health System Job - 36034701 | CareerArc
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Company: Ingalls Health System
Location: Harvey, IL
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

 

Join the hospital trusted by Chicago's Southland, Ingalls Memorial Hospital, in this role as a Charge Master Coding Analyst with our Shared Services - Revenue Cycle team in Harvey, IL.

 

The Chargemaster Analyst is responsible for maintaining the Charge Description Master (CDM) in Soarian Financials the Patient Accounting System, reviewing reimbursement and pricing. The purpose of this position is to maintain the accuracy of CDM line item services for the hospitals, clinics and Medical Group. 

  Job Description

The Chargemaster Analyst will act as a key participant during the annual review of the CDM and meet with clinical managers/department heads. In addition, this individual will be responsible for assigning CPT/HCPCS, revenue, and insurance codes for new and updated services. The Chargemaster Coding Analyst will also be responsible for maintaining a database of relevant CDM-related regulations (i.e. provider bulletins).

 

Essential Job Functions
  • Perform analysis to understand net revenue effect of proposed chargemaster changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends. 
  • Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies.
  • Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools. 
  • Performs annual pricing analysis with recommendations for optimizing revenue opportunities.
  • Understand the market place relative to pricing and suggest response to new providers. 
  • Work with managed care contracting personnel in the development and analysis of contracts with payers.
  • Responds to CDM inquiries and requests timely.
  • Resolve coding discrepancies.
  • Assist with education of departmental staff on changes.
  • Report to management on monthly financial results. 
  • Establish, maintain, and coordinate new charges and CDM process improvements. 
  • Recommend, develop and maintain financial databases, computer software systems and manual filing systems. 
  • Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems. 
  • Utilize knowledge gained from educations programs in everyday work situations.
  • Annual General Education test. 
  • Demonstrates commitment to professional growth and competence. 
  • Attends all mandatory Departmental and Hospital in-services and meetings. 
  • Formulates annual written objectives with supervisor. 
  • Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process.

Required Qualifications

  • Education: BS/BA in a Healthcare or business related field.
  • Licences/Certifications: RHIA, RHITA and/or CCS certification 
  • 5-8 years of related experience in lieu of educational experience
  • Thorough knowledge of CPT/HCPCS coding required.
  • Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred.
  • Microsoft Excel and Access skills strongly preferred  

Job Details

  • Job Type: Full-Time 
  • Shift: Days
  • Unit/Department: Patient Accounts
  • CBA Code: Non-Union

 

Join the hospital trusted by Chicago's Southland, Ingalls Memorial Hospital, in this role as a Charge Master Coding Analyst with our Shared Services - Revenue Cycle team in Harvey, IL.

 

The Chargemaster Analyst is responsible for maintaining the Charge Description Master (CDM) in Soarian Financials the Patient Accounting System, reviewing reimbursement and pricing. The purpose of this position is to maintain the accuracy of CDM line item services for the hospitals, clinics and Medical Group. 

  Job Description

The Chargemaster Analyst will act as a key participant during the annual review of the CDM and meet with clinical managers/department heads. In addition, this individual will be responsible for assigning CPT/HCPCS, revenue, and insurance codes for new and updated services. The Chargemaster Coding Analyst will also be responsible for maintaining a database of relevant CDM-related regulations (i.e. provider bulletins).

 

Essential Job Functions
  • Perform analysis to understand net revenue effect of proposed chargemaster changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends. 
  • Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies.
  • Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools. 
  • Performs annual pricing analysis with recommendations for optimizing revenue opportunities.
  • Understand the market place relative to pricing and suggest response to new providers. 
  • Work with managed care contracting personnel in the development and analysis of contracts with payers.
  • Responds to CDM inquiries and requests timely.
  • Resolve coding discrepancies.
  • Assist with education of departmental staff on changes.
  • Report to management on monthly financial results. 
  • Establish, maintain, and coordinate new charges and CDM process improvements. 
  • Recommend, develop and maintain financial databases, computer software systems and manual filing systems. 
  • Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems. 
  • Utilize knowledge gained from educations programs in everyday work situations.
  • Annual General Education test. 
  • Demonstrates commitment to professional growth and competence. 
  • Attends all mandatory Departmental and Hospital in-services and meetings. 
  • Formulates annual written objectives with supervisor. 
  • Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process.

Required Qualifications

  • Education: BS/BA in a Healthcare or business related field.
  • Licences/Certifications: RHIA, RHITA and/or CCS certification 
  • 5-8 years of related experience in lieu of educational experience
  • Thorough knowledge of CPT/HCPCS coding required.
  • Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred.
  • Microsoft Excel and Access skills strongly preferred  

Job Details

  • Job Type: Full-Time 
  • Shift: Days
  • Unit/Department: Patient Accounts
  • CBA Code: Non-Union


Responsibilities

 

Join the hospital trusted by Chicago's Southland, Ingalls Memorial Hospital, in this role as a Charge Master Coding Analyst with our Shared Services - Revenue Cycle team in Harvey, IL.

 

The Chargemaster Analyst is responsible for maintaining the Charge Description Master (CDM) in Soarian Financials the Patient Accounting System, reviewing reimbursement and pricing. The purpose of this position is to maintain the accuracy of CDM line item services for the hospitals, clinics and Medical Group. 

  Job Description

The Chargemaster Analyst will act as a key participant during the annual review of the CDM and meet with clinical managers/department heads. In addition, this individual will be responsible for assigning CPT/HCPCS, revenue, and insurance codes for new and updated services. The Chargemaster Coding Analyst will also be responsible for maintaining a database of relevant CDM-related regulations (i.e. provider bulletins).

 

Essential Job Functions
  • Perform analysis to understand net revenue effect of proposed chargemaster changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends. 
  • Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies.
  • Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools. 
  • Performs annual pricing analysis with recommendations for optimizing revenue opportunities.
  • Understand the market place relative to pricing and suggest response to new providers. 
  • Work with managed care contracting personnel in the development and analysis of contracts with payers.
  • Responds to CDM inquiries and requests timely.
  • Resolve coding discrepancies.
  • Assist with education of departmental staff on changes.
  • Report to management on monthly financial results. 
  • Establish, maintain, and coordinate new charges and CDM process improvements. 
  • Recommend, develop and maintain financial databases, computer software systems and manual filing systems. 
  • Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems. 
  • Utilize knowledge gained from educations programs in everyday work situations.
  • Annual General Education test. 
  • Demonstrates commitment to professional growth and competence. 
  • Attends all mandatory Departmental and Hospital in-services and meetings. 
  • Formulates annual written objectives with supervisor. 
  • Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process.

Required Qualifications

  • Education: BS/BA in a Healthcare or business related field.
  • Licences/Certifications: RHIA, RHITA and/or CCS certification 
  • 5-8 years of related experience in lieu of educational experience
  • Thorough knowledge of CPT/HCPCS coding required.
  • Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred.
  • Microsoft Excel and Access skills strongly preferred  

Job Details

  • Job Type: Full-Time 
  • Shift: Days
  • Unit/Department: Patient Accounts
  • CBA Code: Non-Union


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