Coding Concepts
Chargemaster Analyst
Coding Concepts - Gilbert, Arizona, United States, 85233
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Overview
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Chargemaster Analyst
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Chargemaster Analyst
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Coding Concepts Position Summary
Coding Concepts is seeking an experienced 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 review and update the Chargemaster in accoradnace 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 imporovment areas. Partner with clinical departments, finance, HIM, and revenue cycle temas to resolved billing discrepencies and ehnace charge capture process. Conduct routine audits of the Chargemaster and billing workflows to ensure accuracy, coplaince, and intergrity 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. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
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Chargemaster Analyst
role at
Coding Concepts 1 week ago Be among the first 25 applicants Join to apply for the
Chargemaster Analyst
role at
Coding Concepts Position Summary
Coding Concepts is seeking an experienced 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 review and update the Chargemaster in accoradnace 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 imporovment areas. Partner with clinical departments, finance, HIM, and revenue cycle temas to resolved billing discrepencies and ehnace charge capture process. Conduct routine audits of the Chargemaster and billing workflows to ensure accuracy, coplaince, and intergrity 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. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Business Development and Sales Industries Hospitals and Health Care Referrals increase your chances of interviewing at Coding Concepts by 2x Get notified about new Analyst jobs in
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Phoenix, AZ $85,000.00-$100,000.00 18 hours ago Phoenix, AZ $48,000.00-$53,000.00 6 days ago Phoenix, AZ $91,000.00-$101,000.00 3 days ago Risk Adjustment Audit Operations Analyst - RADV
Scottsdale, AZ $77,969.00-$128,519.00 1 day ago Managed Care Contracting Analyst - Remote
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We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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