Description
SUMMARY
Under the guidance of the VP, Revenue Cycle Management, the coordinator independently audits and evaluates the Health System revenue cycle related workflows, identifies problem areas, provides solutions, and assists in the implementation of workflow improvements to assure an effective revenue cycle process. Maintains hospital charge master including participation in the Hospital Pricing Committee, provides recommendations for changes and coordinates the implementation of new/revised charges.
STATUS: Full time
LOCATION: Riedman Campus
DEPARTMENT: Revenue Integrity
SCHEDULE: Monday - Friday days
ATTRIBUTES
- Bachelor’s Degree in Business, Accounting, Health Information, other health care related field strongly preferred
- Minimum five years’ medical billing or registration experience preferred.
- Equivalent combination of education and experience may be considered.
RESPONSIBILITIES
- Maintain an accurate and complete hospital chargemaster (CDM) ensuring competitive pricing, appropriate reimbursement and compliance with governmental billing regulations
- Manage the department chargemasters by scheduling, coordinating, and monitoring departmental CDM reviews and updates. Documents all CDM recommendations.
- Complete the CDM review by obtaining appropriate department head approval, coordinating the effective date and completion of the finalized system changes, and rebilling and/or crediting of services. Report all potential compliance related issues.
- Develop and update CDM Review and charge services policies and procedures including overall health system, standard, and department specific as needed.
- Perform ongoing audits and education to hospital clinical departments on procedures to maintain compliance and integrity of the chargemaster
- Coordinate and monitor all new charge requests (procedures, supplies and pharmacy) including all pre work research, pricing and final approvals.
- Identify, coordinate, and monitor quarterly and annual HCPCS and APC changes.
PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
PAY RANGE: $60,500.00 - $67,000.00
The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
