Analyst – Charge Master

This is a fully remote position, open to applicants in Georgia.

📋 Description

• Evaluate, coordinate, and oversee charge capture and reconciliation processes from the creation of charges to the submission of clean claims.

• Enhance revenue management and ensure the integrity of the charge capture process.

• Collaborate with revenue cycle and departmental leadership to comply with regulatory requirements.

• Coordinate the introduction of new services and products for revenue cycle purposes.

• Identify, review, and develop charges within the EMR and CDM.

• Choose suitable charge generation models.

• Maintain a compliant charge description master file.

• Conduct regular charge capture audits and implement recommended changes.

• Engage with clinical and ancillary departments to ensure charge codes accurately represent services rendered.

• Lead the review and maintenance of Hospital and Physician Charge Masters.

• Monitor evolving industry requirements, regulations, fraud alerts, and advisory opinions.

• Coordinate communication about regulatory or payer changes with affected leaders.

• Investigate and provide guidance on professional/technical billing, coding, and regulatory documentation requirements.

• Assess audit and monitoring trends and coordinate mitigation efforts.

• Research third-party payer regulations and ensure compliance with federal, state, local payer regulations, and hospital contracts.

• Participate in assigned committees.

• Perform additional duties as required.

⛳️ Requirements

• Certification in healthcare compliance (HCAA or AAPC's certification) and/or a Coding Certification (RHIA, RHIT, CPC or CCS).

• At least five (5) years of demonstrated administrative experience in Coding, CDM/Charge Master, Finance, or medical records.

• Proven experience with hospital charging processes.

• Extensive knowledge and experience in revenue cycle processes.

• Significant experience in effective problem-solving, project management, and conflict resolution skills.

• Preferred: Bachelor's Degree from an accredited college or university in Healthcare Administration.

• Preferred experience with APC reimbursement, CMS rules and regulations, and coding and billing compliance.

• Familiarity with OPPS, HCPCS, and CPT-4 coding systems.

• Experience in multi-hospital organizations.

• Proficiency with Epic.

• Ability to integrate regulatory requirements and perform data input, analysis, and QA.

• Capacity to interpret, analyze, develop, direct, and execute large-scale implementations and projects.

• Ability to identify and redesign inefficient workflows and processes.

• Excellent written and verbal communication skills, including conflict resolution capabilities.

• Strong interpersonal skills.

• Superior analytical and problem-solving abilities.

• Capability to work independently or with minimal oversight.

• Exceptional analytical skills for pricing, revenue, and reimbursement analysis.

• Proficiency in Excel and/or Access.

🏝️ Benefits

• Equal Opportunity Employer.

• Opportunities to achieve personal and professional aspirations.

• Team commitment to investing in employees as individuals.