About UsAtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionThe Senior Chargemaster Analyst position requires a healthcare clinical or coding certification, college degree, with significant healthcare experience. Responsibilities include:Oversee Chargemaster maintenance for CUH to ensure proper revenue generation and reimbursement, improvement to all aspects of revenue cycle operation (coding, charge capture, and work processes), while maintaining compliance with third party and government requirementsManages processes for quarterly and annual CDM updates including tracking, review, analysis, departmental communication, soliciting internal responses, formatting changes to the CDM.Helps analyze and identify root causes for charge edits, claim edits, denials relative to chargemaster settings. Develops and documents options for further discussion and implementationWorks in coordination with Revenue Integrity staff as problems are discovered to help strategize changes needed in workflows, IT systems, interfaces due to CDM settingsImplements charge strategy, coding, workflow, corrections and facilitates rebilling as necessary for the resolution of compliance, reimbursement or denial issuesDevelops anticipatory measures and solutions in response to patterns discovered through audit, analysis, review with department usersCommunicates, helps to develop, and conducts education to various departments regarding charging, coding, and billing errors that are identifiedParticipates in internal and external audits focused on charge capture or CDM issuesCapable of using spreadsheets, various billing and clinical source documents, Epic system, and other analytic tools to prepare and present investigative results.Understands coding/ HCC and billing requirements to ensure compliance with all governmental and contractual obligations.Prepares and maintains a variety of communications, tip sheets, reports, and records while ensuring confidentiality of financial and medical records.Advises and instructs providers, department managers, end users regarding billing and documentation policies, procedures and regulations; interacts with Cooper University Health Care staff regarding incorrect charging, conflicting coding, ambiguous documentation, obtaining clarification of same and educate in regard to changes and measuring compliance.Experience Required5-7 years of healthcare experience with knowledge of hospital operations & payment systems. Prefer experience in Charge Description Master (CDM), coding, billing, clinical area.Understanding of CDM methodology and various coding systems used in healthcare, financial management and reporting.Understanding of healthcare computer software including EMR, billing systems, CDM tools such as Craneware or Code CorrectProven ability to strategize, communicate, develop, and conduct education to various staff levels regarding workflow, billing, charging, and coding errors that are identified.Able to review, analyze, prioritize various healthcare regulatory bulletins, websites, quarterly updates for communication to the hospital facilityEducation RequirementsHealthcare certification program - CPC, RHIT, or other healthcare clinical certification (Radiology, Respiratory Therapy, etc.)College degree, will consider significant work experience in exchangeSalary Min ($)USD $37.00Salary Max ($)USD $61.00Job SummaryJob ID: 66457Category: ProfessionalsShift: 1Type: Full TimeDepartment Name: Revenue Cycle Operations 1 Federal Street
