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Be part of a world-class academic healthcare system, Ingalls Memorial Hospital, as a Charge Master Analyst. This position will be 100% remote. Join us as a Charge Master Coding Analyst with our Shared Services - Revenue Cycle team in Harvey, IL.
The Charge Master Coding Analyst is responsible for maintaining the integrity, accuracy, and compliance of the hospital’s charge description master (CDM). This role ensures that all clinical services, supplies, and procedures are correctly coded and mapped for appropriate billing and revenue reporting. The analyst works closely with Clinical, Finance, Revenue Cycle, and IT Teams to analyze and implement new service request, coding updates, price changes, and regulatory modifications. The position plays a key role in optimizing revenue capture, minimizing compliance risk, and supporting hospital operations through accurate and up-to-date charge data. Any candidate must possess a strong understanding in hospital billing, OPPS reimbursement, be proficient in excel, and able to work autonomously to resolve problems as they arise.
Essential Job Functions
- Perform analysis to understand net revenue effect of proposed chargemaster changes. This analysis may include, but is not limited to, pricing analysis on a periodic basis, new service revenue modeling and sensitivity analysis pertaining to applicable industry trends.
- Analyzes data within the CDM and assigns accurate CPT/HCPCS and revenue codes to CDM to insure compliance with regulatory agencies.
- Monitor and review daily revenue reports (specifically the Patient Accounting System) for accuracy and completeness using requisite I/T tools.
- Performs annual pricing analysis with recommendations for optimizing revenue opportunities.
- Understand the market place relative to pricing and suggest response to new providers.
- Work with managed care contracting personnel in the development and analysis of contracts with payers.
- Responds to CDM inquiries and requests timely.
- Resolve coding discrepancies.
- Assist with education of departmental staff on changes.
- Report to management on monthly financial results.
- Establish, maintain, and coordinate new charges and CDM process improvements.
- Recommend, develop and maintain financial databases, computer software systems and manual filing systems.
- Survey operations to ascertain CDM needs and to recommend, develop and maintain solutions to business and financial problems.
- Utilize knowledge gained from educations programs in everyday work situations.
- Annual General Education test.
- Demonstrates commitment to professional growth and competence.
- Attends all mandatory Departmental and Hospital in-services and meetings.
- Formulates annual written objectives with supervisor.
- Seeks educational and learning experiences in identified areas of need and reviews progress through the annual review process.
Required Qualifications
- Education: BS/BA in a Healthcare or business related field; 5-8 years of related experience in lieu of educational experience.
- Licences/Certifications: RHIA, RHITA and/or CCS certification.
- Thorough knowledge of CPT/HCPCS coding required.
- Knowledge of UB-04 data elements requirements, state healthcare billing requirements and Medicare rules preferred.
- Microsoft Excel and Access skills strongly preferred
Position Details
- Job Type: Full Time (1.0 FTE)
- Shift: Days
- Work Location: Remote
- Department: Revenue Cycle
- CBA Code: Non-Union
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