Charge Master Analyst - Reconciliation
Charge Master Analyst - Reconciliation
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Salary Not Disclosed
1 Vacancy
Job Description
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Closing Date:
Type of Position:
Professional Staff - Project/Program Administration
Job Type:
Regular
Work Shift:
Sponsorship Available:
Institution Name:
University of Arkansas for Medical Sciences
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. We champion being a collaborative health care organization focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
- 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 $50000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position please click theApply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law including age race color national origin disability religion protected veteran status military service genetic information sex sexual orientation or pregnancy. Questions or concerns about the application of Title IX which prohibits discrimination on the basis of sex may be sent to the Universitys Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting please contact Human Resources at .
Department:
FIN CORE Coding - Billing Support
Departments Website:
Summary of Job Duties:
This position is responsible for establishing and maintaining charge capture and reconciliation processes and controls as an integral part of a multi-disciplinary Revenue Integrity team. This position acts as a liaison between clinical departments service lines and Revenue Cycle to ensure charging practices are compliant and achieve maximum reimbursement for hospital and professional services. The specialist will support all charge improvement efforts to achieve operational efficiency ensure revenue optimization and minimize missed charging opportunities across all hospital and offsite location for UAMS. The Charge Master Analyst-Reconciliation & Audit serves a significant role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes functions and interdependencies from care delivery to final bill generation.
Qualifications:
A Bachelors degree in Business Accountingor 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 Qualifications:
- 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.
Additional Information:
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 organizations 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.
Salary Information:
Required Documents to Apply:
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact for any recruiting relatedquestions.
All application materials must be uploaded to the University of Arkansas System Career Site
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
Criminal Background Check
This position is subject to pre-employment screening (criminal background drug testing and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:
Hearing Manipulate items with fingers including keyboarding Repetitive Motion Sitting Talking
Frequent Physical Activity:
Standing Walking
Occasional Physical Activity:
Crouching Grasping Kneeling Lifting Pulling Pushing Reaching
Benefits Eligible:
YesRequired Experience:
IC
Employment Type
Full-Time
