Charge Master Analyst - Revenue Integrity - FT Days jobs in United States
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UC Irvine · 9 hours ago

Charge Master Analyst - Revenue Integrity - FT Days

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. The Charge Master Analyst is responsible for managing the Charge Description Master for all inpatient and outpatient technical charges, ensuring alignment of hospital charges to physician charges, and serving as a liaison for charge application and regulatory guidelines.

Higher Education
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Diversity & Inclusion
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Responsibilities

Responsible for the management of the Charge Description Master for all inpatient and outpatient technical charges including Room & Board Care, Pharmacy, Durable Medical Equipment, SOS 22 ambulatory care practices and ancillary services
Charge capture development, rate analysis and appropriate alignment of hospital charges to physician charges
Primary liaison in providing expertise for all institutional charge application and regulatory charge guidelines for the hospital
Works independently and collaboratively, as needed, with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decision regarding the Chargemaster

Qualification

Charge Description Master managementCPC certificationHealthcare revenue cycle knowledgeCoding software toolsAd hoc report writingCustomer service skillsProblem analysisEffective communicationRelationship building

Required

Skill to effectively work with all levels of health system personnel including directors and physicians
Skill in ad hoc technical report writing, complex analyses and data conversion into different formats
Skill converting master files in to reports for departmental use
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Must have a clear understanding of third-party regulatory requirements including Medicare, Medicaid, Managed Care and Commercial
Must demonstrate customer service skills appropriate to the job
Knowledge of the healthcare industry with an in-depth knowledge of coding, billing and revenue management policies
Knowledge of split claim billing
Knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges
Knowledge of coding software tools to maintain current charging and billing guidelines
Excellent written and verbal communication skills in English
Demonstrated advanced computer knowledge and experience with Microsoft Office
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the Health System
Ability to analyze situations, define problems, research and formulate conclusions and make sound recommendations
3 years experience with CDM management
3 years experience in an academic or large healthcare system
3 years experience as a Certified Professional Coder (CPC)
3 years chargemaster management experience

Preferred

Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations
Knowledge of University and medical center organizations, policies, procedures and forms
Epic PB Resolute certification

Benefits

Medical insurance
Sick and vacation time
Retirement savings plans
Access to a number of discounts and perks

Company

UC Irvine

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UC Irvine

Funding

Current Stage
Late Stage

Leadership Team

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Anand Gala
CEO Roundtable Member
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Bob Romney
Chancellor's CEO Roundtable
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