Apply on Employer Site

Kingman Regional Medical Center · 10 hours ago

Charge Master Analyst (Full Time) - Revenue Integrity

3269 Stockton Hill Road, Kingman, AZ, 86409, US

Full-time

Onsite

Mid Level

3+ years exp

Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. They are seeking a Charge Master Analyst to oversee Charge Description Master functions and reimbursement analysis within the revenue integrity department, ensuring compliance with billing guidelines and optimizing revenue generation.

Health CareHospital

Responsibilities

Coordinates monitors and approves all changes made to the Charge Master ensuring that the charge meets CMS / third party payer CPT4/HCPC and revenue center guidelines

Reviews and studies all information from payer source relative to correct proration of the charges making sure that they appear as covered or non-covered under CMS rules

Works closely with the billing staff when issues arise with insurance company’s denying or rejecting claim for certain revenue codes to protect reimbursement

Participates as appropriate with departments and finance in the development of charges and pricing, investigating billing / and coverage guidelines related to new charges; work with effected departments providing education and optimizing reimbursement for the service rendered

Performs financial analysis audits by reviewing UB92’s to evaluate effectiveness and accuracy of the coding, evaluating the complete revenue management cycle and working closely with the Clinical Nurse Auditors to eliminate and correct issues effecting reimbursement

Qualification

CPT/HCPC knowledgeChargemaster managementRevenue codingBilling regulationsAPC reimbursementMulti-taskingEducation/in-servicesAuditing 1500 formsInterviewing skills

Required

High School Diploma or Equivalent

Three (3) years' experience in related field

Extensive knowledge of CPT/HCPC, UB-92 and HCFA billing

Knowledge of revenue coding, modifiers, billing regulations and APC reimbursement

Ability to multi-task and work under aggressive deadlines

Knowledge and hands on knowledge of Chargemaster (CDM) management

Ability to manage and monitor line by line analysis to update CPT/HCPC and UB revenue codes

Monitor implementation of CDM updates into the hospital system

Familiarity with Medicare policies and fiscal intermediary guidelines

Ability to perform interviews with hospital staff and provide education/in-services on coding billing

Experience with auditing 1500 forms and UB92's for compliance and completeness

Participate in ongoing coordination and resolution of revenue issues as related to charging

Maintains timely turnaround of all Chargemaster requests

Preferred

Bachelor Degree in Healthcare administration or Business Administration is highly desirable

Benefits

Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability

Generous Paid Leave Accruals

403b Retirement Plan with Employer Contributions

Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program

Employee Identity Theft Protection

On-site daycare exclusive to our employees’ children of all ages

Employer Paid Employee Wellness Center Membership with fitness classes, personal training, indoor pool, racquetball, and basketball courts

Tuition Reimbursement/Scholarships for full-time employees

As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program