What are the responsibilities and job description for the Chargemaster Specialist position at St. Mary's Health Care?
Job Requisition : REQ3244
Employment type : Full time
Shift : Days
Hours per week : 40 hours
Hiring Range : $79,476.80- $109,470.40
The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities :
- Evaluate current charging / coding structures in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements
- Monitors changes to coding and billing rules and share findings with appropriate practices and departments. Responds to departmental charging inquiries in a timely manner
- Assess the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents used to capture revenue
- Ensure the Charge Description Master is maintained, and changes are made in a timely manner
- Provide analytics on charging trends and accuracy, strategic pricing and reconciliation requirements
- Coordinate with Leadership, Contract Management and other Revenue Cycle team members to resolve charge discrepancies and payment variance issues
- Assist with revenue improvement opportunities and analysis of financial impact as related to professional and hospital clinical departments
- Maintains the chargemaster by incorporating new charges / services identified by departments, third-party changes, special requirements and coding updates
- Conducts annual reviews of the chargemaster to identify codes that have been deleted, added or replaced and ensures required updates to code descriptions
- Ensures organizational compliance to federal, state and local regulations as well as governmental and commercial payer guidelines as related to charge codes and chargemaster
- Identifies services that are not being coded but are technically reimbursable and discusses these services and codes with the reporting manager to determine suitable action
- Holds meetings to educate department managers, physicians and other staff on changes to existing charge codes, validation of inactive codes and the development of new codes
- Audits chargemaster changes, maintains a detailed trail of these changes and communicates any change to all applicable departments
- Participates in third-party charge audits with other dedicated teams and assists in inquiries related to chargemaster
- Investigates CPT codes, revenue codes and other issues and resolves disputes within a stipulated time frame
- Supports clinical units in charge capture, coding accuracy and revenue management
- Monitors organizational uniformity in the application of charge codes for similar products and procedures
- Prepares and provides management reports as requested
- Education, Training & Experience :
- Bachelor's degree in business administration, accounting, management, healthcare administration or related field preferred.
- Minimum of Five (5) years of experience in health information management and billing required.
- Minimum of three (3) years of experience in chargemaster maintenance preferred.
Required Skills / abilities :
Certifications / Licensure :
Required Skills and Attributes :
Salary : $79,477 - $109,470
