Coding Concepts LLC
Benefits:
Flexible schedule
Position Summary
Coding Concepts is seeking an experienced Chargemaster Analyst with extensive knowledge of hospital and professional billing, coding regulations, and revenue cycle processes. This role is vital in ensuring accurate and compliant charge capture, billing practices, and optimization of revenue through the development and maintenance of the hospital chargemaster (CDM). The ideal candidate is a highly skilled professional who understands the complexities of healthcare finance, coding guidelines, and the critical role the chargemaster plays in operational and financial performance. Role Responsibilities
Maintain and update the chargemaster (CDM) by accurately adding, deleting, and modifying billable items, CPT/HCPCS codes, and service descriptions. Ensure regulatory compliance by regularly reviewing and updating the Chargemaster in accordance with evolving coding standards, billing regulations, and payer requirements (e.g., Medicare, Medicaid, commercial insurers). Analyze charges for accuracy and consistency, identifying potential errors, optimization opportunities, and revenue improvement areas. Partner with clinical departments, finance, HIM, and revenue cycle teams to resolve billing discrepancies and enhance charge capture processes. Conduct routine audits of the Chargemaster and billing workflows to ensure accuracy, compliance, and integrity of data. Analyze reimbursement data to identify trends, detect issues, and support billing improvements. Required Qualifications
Bachelor’s degree in Health Information Management, Finance, Healthcare Administration, or a related field preferred. Certification Required: CCS, RHIT, RHIA, or CPC for at least 3 years. Experience working in a rural healthcare facility or a critical access hospital. Familiarity with billing software, CDM maintenance tools, and electronic health records (EHRs). Minimum of 4 years of hands-on experience working with the hospital chargemaster/CDM. Expert knowledge of: CPT/HCPCS, revenue codes, and ICD-10 coding CMS regulations and billing guidelines UB-04 and CMS 1500 billing processes Medicare and commercial payer reimbursement methodologies (OPPS, IPPS, fee schedules) This is a remote position.
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Coding Concepts is seeking an experienced Chargemaster Analyst with extensive knowledge of hospital and professional billing, coding regulations, and revenue cycle processes. This role is vital in ensuring accurate and compliant charge capture, billing practices, and optimization of revenue through the development and maintenance of the hospital chargemaster (CDM). The ideal candidate is a highly skilled professional who understands the complexities of healthcare finance, coding guidelines, and the critical role the chargemaster plays in operational and financial performance. Role Responsibilities
Maintain and update the chargemaster (CDM) by accurately adding, deleting, and modifying billable items, CPT/HCPCS codes, and service descriptions. Ensure regulatory compliance by regularly reviewing and updating the Chargemaster in accordance with evolving coding standards, billing regulations, and payer requirements (e.g., Medicare, Medicaid, commercial insurers). Analyze charges for accuracy and consistency, identifying potential errors, optimization opportunities, and revenue improvement areas. Partner with clinical departments, finance, HIM, and revenue cycle teams to resolve billing discrepancies and enhance charge capture processes. Conduct routine audits of the Chargemaster and billing workflows to ensure accuracy, compliance, and integrity of data. Analyze reimbursement data to identify trends, detect issues, and support billing improvements. Required Qualifications
Bachelor’s degree in Health Information Management, Finance, Healthcare Administration, or a related field preferred. Certification Required: CCS, RHIT, RHIA, or CPC for at least 3 years. Experience working in a rural healthcare facility or a critical access hospital. Familiarity with billing software, CDM maintenance tools, and electronic health records (EHRs). Minimum of 4 years of hands-on experience working with the hospital chargemaster/CDM. Expert knowledge of: CPT/HCPCS, revenue codes, and ICD-10 coding CMS regulations and billing guidelines UB-04 and CMS 1500 billing processes Medicare and commercial payer reimbursement methodologies (OPPS, IPPS, fee schedules) This is a remote position.
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