INTEGRIS Health, Inc.
Chargemaster Analyst - Days
INTEGRIS Health, Inc., Oklahoma City, Oklahoma, United States, 73116
Chargemaster Analyst
INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a Chargemaster Analyst in Oklahoma City, OK. In this position, you’ll work 8a-5p, Full-time, with our team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% paid short-term disability, increased retirement match, and paid family leave.
Responsibilities
Assist in upholding INTEGRIS administrative and fiscal excellence within the Revenue Integrity Department by providing expertise to educate appropriate staff on charging and coding standards, ensuring data management and the accuracy of charging practices.
Work to resolve charge related issues assigned to the Revenue Integrity department.
Assist in the evaluation, research and analysis of charging, revenue, and billing to ensure compliance with all payer requirements and determine patterns of charging that will avoid compliance risks and/or increase the propensity for payment of charged services.
Responsible for the development, implementation, maintenance and audit functions related to the CDM.
Provide leadership and direction for departments on pricing strategies in accordance with state and federal regulatory guidelines, CMS and Medicare Administrative Contractor rules and regulations, Medicaid specific rules and regulations, and Managed Care contract terms.
Provide communication and education to appropriate departments regarding annual and quarterly CPT/HCPCS changes and additions.
Review charges and clinical data as directed from targeted points of care to compare services charged versus services recorded.
Collaborate in a monthly and quarterly review of specialty specific charges to ensure accuracy of information is maintained; review and interpret utilization and billing data noting trends and providing recommendations as needed.
Work with physicians and departments to optimize reimbursement, ensure charge capture and provide feedback on revenue opportunities, documentation, and payor standards.
Qualifications
Bachelor’s Degree in a related field and 2 years of related experience; Associate degree and 4 years of related experience; or 6 years of related experience.
Previous work experience with software used in a financial, clinical or enterprise systems setting.
Previous work experience with financial, clinical or web-based systems computing preferred.
Previous experience using verbal and written communication to a variety of audiences through a range of modalities.
Prefer expertise, licensure, or certification as required by role (for example: CCS, COC, Epic, RHIA, RHIT, RN, etc.).
This job requires incumbents to operate an INTEGRIS-owned vehicle OR personal vehicle (non-INTEGRIS-owned) and therefore must have a current Driver’s License from the state of residence as well as a driving record which is acceptable to our insurance carrier.
About INTEGRIS Health Partnering with people to live healthier lives. To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career. INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
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Responsibilities
Assist in upholding INTEGRIS administrative and fiscal excellence within the Revenue Integrity Department by providing expertise to educate appropriate staff on charging and coding standards, ensuring data management and the accuracy of charging practices.
Work to resolve charge related issues assigned to the Revenue Integrity department.
Assist in the evaluation, research and analysis of charging, revenue, and billing to ensure compliance with all payer requirements and determine patterns of charging that will avoid compliance risks and/or increase the propensity for payment of charged services.
Responsible for the development, implementation, maintenance and audit functions related to the CDM.
Provide leadership and direction for departments on pricing strategies in accordance with state and federal regulatory guidelines, CMS and Medicare Administrative Contractor rules and regulations, Medicaid specific rules and regulations, and Managed Care contract terms.
Provide communication and education to appropriate departments regarding annual and quarterly CPT/HCPCS changes and additions.
Review charges and clinical data as directed from targeted points of care to compare services charged versus services recorded.
Collaborate in a monthly and quarterly review of specialty specific charges to ensure accuracy of information is maintained; review and interpret utilization and billing data noting trends and providing recommendations as needed.
Work with physicians and departments to optimize reimbursement, ensure charge capture and provide feedback on revenue opportunities, documentation, and payor standards.
Qualifications
Bachelor’s Degree in a related field and 2 years of related experience; Associate degree and 4 years of related experience; or 6 years of related experience.
Previous work experience with software used in a financial, clinical or enterprise systems setting.
Previous work experience with financial, clinical or web-based systems computing preferred.
Previous experience using verbal and written communication to a variety of audiences through a range of modalities.
Prefer expertise, licensure, or certification as required by role (for example: CCS, COC, Epic, RHIA, RHIT, RN, etc.).
This job requires incumbents to operate an INTEGRIS-owned vehicle OR personal vehicle (non-INTEGRIS-owned) and therefore must have a current Driver’s License from the state of residence as well as a driving record which is acceptable to our insurance carrier.
About INTEGRIS Health Partnering with people to live healthier lives. To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career. INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
#J-18808-Ljbffr