Staff Analyst - Charge Description Master Analyst
Staff Analyst - Charge Description Master Analyst
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$ 6806 - 9820
1 Vacancy
Job Description
Salary Range $6806.73 $9820.80 /Month
SUMMARY
We are seeking to hire Charge Description Master Analyst responsible for the maintenance of the Enterprise Charge Description Master (CDM). The selected candidate will be responsible for performing administrative and technical CDM maintenance duties and ensure that hospital and clinic charges are captured accurately promptly and in compliance with Federal State and local health care regulatory agencies. This position requires a dedicated individual who can manage a variety of responsibilities demonstrate strong problemsolving abilities and work effectively within a collaborative environment.
ESSENTIAL FUNCTIONS
- Ensure effective capture and reporting of charges in both the Oracle Cerner Millennium Electronic Health Record (EHR) and QuadraMed Affinity RCO systems.
- Work closely with various clinical departments within DHS EHR Solution such as Radiology Laboratory Oncology Physical Therapy Occupational Therapy Cardiology and others to ensure that CDM workflows documentation and charge capture systems are accurate and consistently updated.
- Perform research and analysis on charge data capture that results in denials such as deleted and/or modified CPT/HCPCS codes.
- Assist with resolving and implementing EHR and Affinity RCO errors in workflows designs and other revenue cycle system problem.
- Support Charge Master maintenance and updates process financial/operations impact analysis and review including CPT HCPCS code Revenue Codes Relative Unit Values Resource Based Relative Value Scale National Drug Codes etc. assignment for the EHR and Patient Accounting.
- Conduct quarterly annual or asneeded reviews to ensure that the Charge Description Masters (EHR and Affinity RCO) are updated for new and revised CPT4/HCPCS codes.
- Process supplies for charge capture in EHR and billing system (Affinity RCO).
- Assist staff with creating Data Collection Workbooks (DCWs) for charge configuration builds.
- Participate with testing of both the EHR and Affinity RCO charging functionality.
- Validate testing procedures to ensure that new workflows generate charges properly. This includes knowledge of supplies and vendors as well as assigning HCPCS to implants and other surgical items.
- Participate in audits to verify compliance with standardized procedures and other code assignment in the EHR Patient Accounting systems etc. for adherence to changes/updates required by CMS other regulatory agencies and DHS policies.
- Comply with the Charge Master Departments policy and procedures related to charge codes and descriptions.
- Effectively coordinate and facilitate user interaction with Clinical and Enterprise Clinical Services (ECS) teams to define and validate processes that assure effective and efficient charge flows.
- Maintain files that contain the audit trail of Charge Description Master additions updates and other changes.
- Performs special assignments and projects as directed.
- Complete training related to human resource requirements.
- Participate in meetings.
- Responding to general inquiries.
JOB QUALIFICATIONS
- Minimum three 3 years in a charge description master or revenue integrity related work broad based knowledge of hospital financial operations including reimbursement.
- Must have knowledge of medical terminology to a wide range of therapeutic and diagnostic situations.
- Must have Knowledge and understanding of CPT/HCPCS revenue coding and ICD10 required.
- Must have knowledge and understanding of Medicare billing regulations revenue code application CPT/HCPCS coding and ICD10 regulations and guidelines.
- Must possess indepth knowledge and understanding of hospital and medical foundation services regulatory requirements CDM management and project management.
- Must have indepth knowledge experience and be proficient with the Oracle Charge Services Affinity RCO Chargemaster functions and tools as well as analyzing charge data a plus.
- Must have knowledge experience with working with medical supplies for charge capture. This includes being proficient in reviewing analyzing medical supplies for assignment of CPT/HCPCS codes in the Charge Masters and charge capture via Charge Masters.
- Must have knowledge and experience in working with pharmaceuticals drug formulary regulatory programs (e.g. 340B program) CPT/HCPCS code assignments assigning charge capture drug modifiers.
- Must be proficient in MS Office (Excel Word PowerPoint Access).
Education/Experience
- Bachelors degree or higher in Finance health science business information technology accounting or related field a plus.
- Experience with medical billing and coding.
- Experience in Craneware tools or similar software system.
- Knowledge of healthcare coding and billing regulations
- General knowledge and understanding of EHR clinical workflows.
- Must be able to work independently or in a team.
Certificates/Licenses (Preferred/Not Required)
- Certified Revenue Cycle Representative (CRCR) HFMA
- Certified Revenue Cycle Specialist (CRCS) AAPC
- Certified Coding Specialist (CCS) AHIMA
- Certified Charge Capture Professional (CCCP) AAPC/HFMA
Clearances
- Successful clearing through the Live Scan and the Health Clearance process with the County of Los Angeles.
Other Skills Knowledge and Abilities
- Working knowledge of Microsoft Office Programs (Excel Word Access PowerPoint).
- Experience in working with large database particularly extracting and manipulating specific files.
- Demonstrates good analytical skills.
- Must apply knowledge of medical terminology to a wide range of therapeutic and diagnostic situations.
PHYSICAL DEMANDS
Stand: Occasionally
Walk: Occasionally
Sit: Frequently
Handling: Occasionally
Reach Outward: Occasionally
Reach Above Shoulder: Occasionally
Climb Crawl Kneel Bend: Occasionally
Lift / Carry: Occasionally Up to 15 lbs.
Push/Pull: Occasionally Up to 15 lbs.
See: Constantly
Taste/ Smell: Not Applicable
Not Applicable Not required for essential functions
Occasionally 0 2 hrs./day)
Frequently 2 5 hrs./day)
Constantly 5 hrs./day)
WORK ENVIRONMENT
This position is based in Alhambra CA with hybrid work schedule 2 days/week). Negotiable.
EEOC STATEMENT
It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants without regard to age 40 and over) national origin or ancestry race color religion sex gender sexual orientation pregnancy or perceived pregnancy reproductive health decision making physical or mental disability medical condition (including cancer or a record or history of cancer) AIDS or HIV genetic information or characteristics veteran status or military service.
Required Experience:
Staff IC
Employment Type
Full-Time
