UAMS - University of Arkansas for Medical Sciences · 1 day ago
Charge Master Analyst
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. The Charge Master Analyst is responsible for establishing and maintaining charge capture and reconciliation processes and controls as part of a Revenue Integrity team, ensuring compliance and maximizing reimbursement for services.
EducationHealth CareNon Profit
Responsibilities
Works with various departments/service lines to ensure appropriate charge capture and charge reconciliation is completed daily
Monitors Epic Revenue Integrity Dashboard(s), Epic Charge Router Work Queues and Epic Charge Review Work Queues and works with department/service line staff/management to ensure timely posting of revenue
Review patient records and assist with account corrections, charge reconciliation based on clinical documentation
Understand and document the Epic charge capture and reconciliation procedures for each department/service line in compliance with the organization’s Charge Capture Reconciliation Policy
Works with departments/service lines to manage open encounters and processes corrections as necessary and communicates findings with appropriate departments/service lines
Expected to identify, quantify impact, and participate in the resolution of any potential or actual revenue/charge related issues
Serve as primary contact and subject matter expert on charge related workflows
Works closely with the Charge Master Committee to ensure hospital and physician charge capture mechanisms are set up appropriately
Advise Service Line Leaders and their staff on proper usage of charge codes
Identify opportunities for capturing additional revenue in accordance with payer guidelines
Review all charging related information system change requests for accuracy and appropriateness; approve additions, deletions and modifications to charges while maintaining open communication with relevant stakeholders regarding requested changes
Develop and deploy standardized reporting, dashboards and charge reconciliation tools for departments/service lines that are meaningful to the end user
Provide ongoing education/feedback to each department/service line and charge capture new hires
Independently performs audit projects at all levels of complexity
Performs other duties as assigned
Qualification
Required
A Bachelor's degree in business, Accounting or a related field; plus 4 years' working with a hospital charge description master or in a hospital billing office OR a high school diploma/GED; plus 8 years' working with a hospital charge description master or in a hospital billing office
Proficient computer skills; MS Office including Word, PowerPoint, Excel, and Outlook; Windows operating system and internet
Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management
Proficiencies – Advanced knowledge of revenue cycle processes and hospital/professional billing to include CDM, UB04, Remittance Advices and 1500 claim form. Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10. Advanced knowledge of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding of reimbursement methodologies to include DRG, OPPS, professional and facility billing. Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations
Due to its service focus, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, critical thinking and the ability to meet deadlines while influencing, but not directly managing the work of others
Preferred
LPN, RN, CPC, CCS, CPA
Understanding of CPT/HCPCS codes, payer regulations and payer reimbursement
Data Visualization experience utilizing Power BI
Working knowledge of Epic HB Resolute and PB Resolute
Working knowledge of Epic Slicer Dicer
Proof of Veteran Status
Benefits
Health: Medical, Dental and Vision plans available for qualifying staff and family
Holiday, Vacation and Sick Leave
Education discount for staff and dependents (undergraduate only)
Retirement: Up to 10% matched contribution from UAMS
Basic Life Insurance up to $50,000
Career Training and Educational Opportunities
Merchant Discounts
Concierge prescription delivery on the main campus when using UAMS pharmacy
Company
UAMS - University of Arkansas for Medical Sciences
UAMS is the state’s only comprehensive academic health center, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a northwest Arkansas regional campus; a statewide network of regional centers; and seven institutes: the Winthrop P.
Funding
Current Stage
Late StageTotal Funding
$5.65MKey Investors
National Institute of Allergy and Infectious DiseasesNational Cancer Institute
2023-03-16Grant· $1M
2022-08-25Grant· $3.4M
2022-06-23Grant· $1.25M
Leadership Team
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