LanceSoft
Job Title: Manager - Chargemaster
Type: Direct Hire
Location: Charlotte, NC
Salary range: $78,000 - $117,000
Note: Please apply if you are interested in relocation.
Job Summary: Responsible for the oversight, integrity, supervision, and maintenance of the charge Description Master (CDM), Charge capture process and billing and coding regulatory compliance for laboratory services. Must be knowledgeable of current coding practices and identify ways to help address preventable revenue loss. Advise and collaborate with compliance, audit services, IT, Financial Services, and Finance and Revenue Cycle teams to assess and solve billing, coding, and charging compliance issues. Act as a liaison to both internal and external labeling business partners. Position works in complex matrixed environment
Job Responsibilities: -Maintains working knowledge of the. CD-10 and CPT/HCPCS coding principles and the AMS/CMS documentation guidelines. -Works with revenue producing departments to ensure consistency with charged master and charge capture process including accurate descriptions, coding additions, deletions, pricing, revenue codes and any other changes. -Collaborates with Finance, Revenue Recognition and Performance Service departments to perform applicable analysis to understand budget variances. Net revenue change and labor impact of proposed changes to chargemaster. -Maintains working knowledge of revenue cycles process to aid in the implementation of regulatory standards that assist the organization in cash collection while accurately complying with billing guidelines. -Responsible for menu code and coding assignment of all new items or services throughout Laboratory Services. -Stays current with applicable government rules and regulations, payer changes and compliance, billing, integrity resources and information. -Solves charging and building problems by researching and analyzing end to end workflow across LIS and HRE. -Serves as resource to support problem solving around interface testing. Workflow design and charge testing and other billing and charge related issues. -Act as a laboratory subject matter expert by identifying and evaluating CPT code changes, establishes new line items and charges, and provides education to operational leaders. -Coordinates with internal lab operations practice managers, central billing office, CBOE, etcetera to address operational issues that are contributing to denials. -Cox deliberately and systematically under pressure and projects confidence and a positive role model attitude. Ability to maintain organization and productivity under heavy workload situations. Exhibits confidence and leadership to team under pressure situations. -Communicates unusual occurrences that may require immediate attention. Documentation is consistent while organized and retrievable. -Designs and directs the work of the teams. Selects coaches and develops teams. Sets clear expectations to inspire and motivate the team. Manages performance by recognizing achievement, providing feedback, and administering progressive. Discipline when necessary. -May develop and or recommend operating and capital budgets and controls expenditures within approved budget objectives. -Responsible for understanding and adhering to the organization's code of ethical conduct and for ensuring that people actions and the actions of employees supervise, comply with the policies, regulations, and laws applicable to the organization's business.
Required Skills & Experience: -Knowledge of medical terminology and anatomy and psychology. -Excellent interpersonal and communication, including excellent verbal and writing skills. -Proven ability to handle multiple tasks and meet deadlines within standards. -Adaptable and flexible with ability to adapt Drive and manage change. -Proficient in Microsoft Windows applications, including advanced Excel knowledge. -Demonstrated use of critical thinking skills to problem solve. Experience working in PeopleSoft, Epic and LIS.
Required Education: -Bachelor's degree in healthcare administration, business, or related field.
Required Certifications & Licensure: -Must have Certified Professional Coder (CPC). -Certified Coding Specialist (CCS).
Employee Benefits: At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits: • Four options of medical Insurance • Dental and Vision Insurance • 401k Contributions • Critical Illness Insurance • Voluntary Permanent Life Insurance • ccident Insurance • Other Employee Perks
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.
Job Summary: Responsible for the oversight, integrity, supervision, and maintenance of the charge Description Master (CDM), Charge capture process and billing and coding regulatory compliance for laboratory services. Must be knowledgeable of current coding practices and identify ways to help address preventable revenue loss. Advise and collaborate with compliance, audit services, IT, Financial Services, and Finance and Revenue Cycle teams to assess and solve billing, coding, and charging compliance issues. Act as a liaison to both internal and external labeling business partners. Position works in complex matrixed environment
Job Responsibilities: -Maintains working knowledge of the. CD-10 and CPT/HCPCS coding principles and the AMS/CMS documentation guidelines. -Works with revenue producing departments to ensure consistency with charged master and charge capture process including accurate descriptions, coding additions, deletions, pricing, revenue codes and any other changes. -Collaborates with Finance, Revenue Recognition and Performance Service departments to perform applicable analysis to understand budget variances. Net revenue change and labor impact of proposed changes to chargemaster. -Maintains working knowledge of revenue cycles process to aid in the implementation of regulatory standards that assist the organization in cash collection while accurately complying with billing guidelines. -Responsible for menu code and coding assignment of all new items or services throughout Laboratory Services. -Stays current with applicable government rules and regulations, payer changes and compliance, billing, integrity resources and information. -Solves charging and building problems by researching and analyzing end to end workflow across LIS and HRE. -Serves as resource to support problem solving around interface testing. Workflow design and charge testing and other billing and charge related issues. -Act as a laboratory subject matter expert by identifying and evaluating CPT code changes, establishes new line items and charges, and provides education to operational leaders. -Coordinates with internal lab operations practice managers, central billing office, CBOE, etcetera to address operational issues that are contributing to denials. -Cox deliberately and systematically under pressure and projects confidence and a positive role model attitude. Ability to maintain organization and productivity under heavy workload situations. Exhibits confidence and leadership to team under pressure situations. -Communicates unusual occurrences that may require immediate attention. Documentation is consistent while organized and retrievable. -Designs and directs the work of the teams. Selects coaches and develops teams. Sets clear expectations to inspire and motivate the team. Manages performance by recognizing achievement, providing feedback, and administering progressive. Discipline when necessary. -May develop and or recommend operating and capital budgets and controls expenditures within approved budget objectives. -Responsible for understanding and adhering to the organization's code of ethical conduct and for ensuring that people actions and the actions of employees supervise, comply with the policies, regulations, and laws applicable to the organization's business.
Required Skills & Experience: -Knowledge of medical terminology and anatomy and psychology. -Excellent interpersonal and communication, including excellent verbal and writing skills. -Proven ability to handle multiple tasks and meet deadlines within standards. -Adaptable and flexible with ability to adapt Drive and manage change. -Proficient in Microsoft Windows applications, including advanced Excel knowledge. -Demonstrated use of critical thinking skills to problem solve. Experience working in PeopleSoft, Epic and LIS.
Required Education: -Bachelor's degree in healthcare administration, business, or related field.
Required Certifications & Licensure: -Must have Certified Professional Coder (CPC). -Certified Coding Specialist (CCS).
Employee Benefits: At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits: • Four options of medical Insurance • Dental and Vision Insurance • 401k Contributions • Critical Illness Insurance • Voluntary Permanent Life Insurance • ccident Insurance • Other Employee Perks
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.