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Sutter Health

Charge Master Analyst

Sutter Health, Sacramento, California, United States, 95828

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Charge Master Analyst

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Charge Master Analyst

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Organization

S3-Sutter Shared Services-Valley

Position Overview

Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Evaluates changing regulatory and payer requirements, conducting research and analysis, and recommending applicable changes to the CDM. Reviews and updates Charge Description Master in the CDM software and serves as a primary knowledge point of contact in regards to the Charge Description Master. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software. Communicates changes made to the corporate CDM to impacted users / areas. Performs Epic pre-work activities related to the CDM mapping of chargemaster from legacy system to Epic.

Education

Job Description :

Equivalent experience will be accepted in lieu of the required degree or diploma.

Bachelor's in Healthcare, Accounting, Math or related field

Certification & Licensure

RHIA-Registered Health Information Administrator OR RHIT-Registered Health Information Technician OR CPC-Certified Professional Coder OR COC- Certified Outpatient Coder OR None

Typical Experience

2 years recent relevant experience.

Skills And Knowledge

In-depth knowledge of charge master coding requirements including Revenue Codes, Current Procedural Terminology, Healthcare Procedural Coding Systems and modifiers Familiarity with medical terminology and medical record coding process. Knowledge of Outpatient Code Editor edits/National correct coding edits. Knowledge of Revenue Cycle applications, including Electronic Medical Records systems. Knowledge/ awareness of all areas related to CDM/Charge Capture management functions in acute and non-acute settings and how they interrelate. Knowledge of principles, methods, and techniques related to compliant healthcare billing. Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a CDM/Charge Capture function. Well-developed process design, implementation, and improvement skills. Accuracy, attentiveness to detail and time management skills. Aptitude to conceptualize, plan, and implement stated goals and objectives. Ability to manage own schedule and responsibilities. Must have initiative to work effectively without constant supervision and direction, meeting all deadlines. Ability to work concurrently on a variety of tasks/projects in a fast paced environment with identified productivity requirements and with individuals having diverse personalities and work styles. High-level problem identification/ mitigation/ resolution, analytical and financial skills. Ability to develop effective working relationships/ networks within and outside the organization. Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions. Ability to recognize the appropriate style, level of detail, and message for the audience. Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, Microsoft Suite and knowledge of Patient Management information system applications, preferably EPIC.

Job Shift

Days

Schedule

Full Time

Days Of The Week

Monday - Friday

Weekend Requirements

None

Benefits

Yes

Unions

No

Position Status

Exempt

Weekly Hours

40

Employee Status

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $50.16 to $75.24 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package. Seniority level

Seniority level Entry level Employment type

Employment type Full-time Job function

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