- Remote
- Remote
- Full-time · Mid
- 5+ years
The Revenue Integrity Charge Master Analyst is responsible for assessing, coordinating and managing the charge capture and reconciliation process for designated service area(s) from creation of the charge through and including a clean claim to improve revenue management and ensure the overall integrity of the charge capture process.
Responsibilities
- Maintains a charge description master file that is compliant with required governmental laws, regulations, contractual requirements, standards and practices.
- Conducts routine charge capture audits and implements any suggested changes.
- Interacts with clinical/ancillary departments to ensure that charge codes accurately reflect services provided including, but not limited to, leading the reviews and maintenance of the Hospital and Physician Charge Master.
- Keeps abreast of changing industry requirements and regulations regarding acceptable documentation and billing practices by reviewing Federal Register, fraud alerts, OIG advisory opinions and other relevant publications.
- Investigates and advises on matters relating to professional/technical billing, coding, or regulatory requirements for documenting, coding, and billing.
Requirements
- Bachelors Degree from an accredited college or university in Healthcare Administration
- Nice to have: APC reimbursement
- Nice to have: CMS rules and regulations
- Nice to have: OPPS
- Nice to have: HCPCS