Chargemaster Specialist
Chargemaster Specialist
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Job Description
The Chargemaster Specialist works with cross-functional teams on projects including but not limited to: review analyze and maintain chargemaster pricing for all clinics; review payer policies for any updates and changes that may impact reimbursement; provide support to chargemaster team; provide support to payment compliance team by researching claim denial issues and root cause problem solving with payers; help develop standard operating processes.
This Chargemaster Specialist will have the following qualifications: excellent oral and written communication skills; strong interpersonal and relationship-building skills; ability to work both independently and as part of a team with professionals at all levels; certified medical coder; proficient in Microsoft Office software applications. Knowledge of healthcare payer contracts healthcare billing/payment processes and experience with outpatient physical therapy occupational therapy and speech therapy is preferred.
ESSENTIAL FUNCTIONS:
- Maintain and update chargemaster pricing and rationale
- Update Medicare expected reimbursement amounts annually
- Review and update State Workers Compensation and Medicaid expected amounts annually
- Review payer policies for updates and changes that may impact reimbursement
- Research claim denial issues and root cause problem solving with payers
- Special projects
- Support Chargemaster team as needed
- Other duties as assigned
KNOWLEDGE AND SKILLS:
- Excellent oral and written communication skills
- Thorough understanding of managed care claim lifecycle
- Strong interpersonal and relationship-building skills
- Ability to work both independently and as part of a team with professionals at all levels
- Proficient in Microsoft Office software applications including but not limited to: advanced Outlook skills Excel Pivot Tables etc.
- Knowledge of healthcare payer contracts healthcare billing/payment processes
- Knowledge of physical therapy occupational therapy and speech therapy is preferred
- Ability to manage multiple projects efficiently and accurately
- Demonstrate ability and commitment to excellent customer service to develop and maintain effective working internal & external relationships
- Able to effectively manage conflicting priorities adapt to ever changing responsibilities and meet highly structured deadlines
- Excellent critical thinking skills professionalism reliable judgment and the ability to communicate in an articulate and sensitive manner with strategic partners administrators and internal teams
Qualifications :
- Bachelors degree in Business Finance Health Care or related field preferred or high school diploma and appropriate combination of education and experience
- Certified Medical Coder (CPC CCA CCS CCS-P)
- Charge master experience
- 5 years of clinical coding experience in health care setting
Additional Information :
The anticipated base salary range for this position is 55000-65000. Salary is based on various factors including relevant experience knowledge skills other job-related qualifications and geography. Medical dental vision 401(k) paid time off and other benefits are also available subject to the terms of the Companys plan.
Remote Work :
Yes
Employment Type :
Full-time
Employment Type
Remote
