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