IMH Charge Master Coding Analyst, Full Time - Days jobs in United States
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UChicago Medicine Ingalls Memorial · 3 months ago

IMH Charge Master Coding Analyst, Full Time - Days

UChicago Medicine Ingalls Memorial is a world-class academic healthcare system seeking a Charge Master Coding Analyst for their Shared Services - Revenue Cycle team. The role focuses on maintaining the integrity and compliance of the hospital’s charge description master, ensuring accurate coding for billing and revenue reporting, while collaborating with various teams to optimize revenue capture and minimize compliance risks.

Health CareHospital

Responsibilities

Perform analysis to understand net revenue effect of proposed chargemaster changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends
Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies
Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools
Performs annual pricing analysis with recommendations for optimizing revenue opportunities
Understand the market place relative to pricing and suggest response to new providers
Work with managed care contracting personnel in the development and analysis of contracts with payers
Responds to CDM inquiries and requests timely
Resolve coding discrepancies
Assist with education of departmental staff on changes
Report to management on monthly financial results
Establish, maintain, and coordinate new charges and CDM process improvements
Recommend, develop and maintain financial databases, computer software systems and manual filing systems
Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems
Utilize knowledge gained from educations programs in everyday work situations
Annual General Education test
Demonstrates commitment to professional growth and competence
Attends all mandatory Departmental and Hospital in-services and meetings
Formulates annual written objectives with supervisor
Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process

Qualification

CPT/HCPCS codingRHIA certificationRHITA certificationMicrosoft ExcelUB-04 data elementsRevenue Cycle knowledgeProblem-solvingCommunication skills

Required

Education: BS/BA in a Healthcare or business related field; 5-8 years of related experience in lieu of educational experience
Licences/Certifications: RHIA, RHITA and/or CCS certification
Thorough knowledge of CPT/HCPCS coding required
Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred
Microsoft Excel and Access skills strongly preferred

Preferred

Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred
Microsoft Excel and Access skills strongly preferred

Benefits

Compensation & Benefits Overview
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis.
Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity.
Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

Company

UChicago Medicine Ingalls Memorial

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For nearly a century we have pioneered sophisticated clinical care and developed the area's most convenient network of comprehensive outpatient centers, all dedicated to improve the health and wellbeing of the community.

Funding

Current Stage
Early Stage
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