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Charge Master Analyst

Optum

Responsible for oversight of the charge description master, billing, and reimbursement analysis within Revenue Integrity. The role focuses on assessing and improving charging practices across the organization, supporting compliant billing, reimbursement optimization, and revenue cycle performance.

Primary responsibilities

  • Supervise and coordinate chargemaster and charge capture processes
  • Research coding and billing guidelines, insurance contracts, and charge capture updates
  • Work with department heads, coders, patient accounting, Finance, Revenue Integrity, and Decision Support to improve reimbursement and cash flow
  • Ensure accurate descriptions, coding, pricing, revenue codes, additions, deletions, and other chargemaster changes
  • Support implementation of regulatory standards and compliant billing practices
  • Analyze budget, net revenue changes, labor impact, trends, and compliance issues related to chargemaster activities
  • Distribute CMS updates related to drugs and implantable/pass-through eligible items
  • Collaborate with compliance, internal audit, legal, and outside consultants on billing, coding, charging, and compliance issues
  • Oversee maintenance and use of the chargemaster tool
  • Recommend policies and procedures affecting charge capture and pricing practices
Requirements & Qualifications

Required qualifications

  • 2+ years of relevant experience in billing, charging, chargemaster, coding, or healthcare revenue cycle
  • 2+ years of experience with CPT/HCPCS, UB-92 revenue coding, modifiers, billing regulations, and APCs
  • 2+ years of experience working with Epic software

Preferred qualifications

  • Strong critical thinking skills and decisive judgment
  • Ability to work under minimal supervision
  • Ability to perform effectively in a stressful environment and take appropriate action
Benefits & Perks

Benefits and perks

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase program
  • 401(k) contribution
  • Career development opportunities

Location

Kentucky, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$72,800 - $130,000

Remote work allowed

Yes

Posted

1 month ago

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