group
Category
Administrative Support
business
Department
Patient Financial Services
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA 92270
info
Job #
R0253207
  • Job Objective: A brief overview of the position.
    • This position is responsible for assisting the Manager of Revenue Analytics in maintaining EMC’s Charge Master to assure regulatory and billing compliance for Medicare and all other third party payors. This position also maintains the charge master assurance of pricing integrity and adherence to EMC’s pricing policies.
  • Reports to
    • Manager of Revenue Analytics
  • Supervises
    • N/A
  • Ages of Patients
    • N/A
  • Blood Borne Pathogens
    • Minimal/No Potential
  • Qualifications
    • Education
      • Preferred: Bachelors Degree in HealthRelated Field
    • Licensure/Certification
      • Epic build certification (must be obtained within 6 months of start date) 
    • Experience
      • Preferred: 3-5 years in working with hospital finance or Patient Financial Services
      • Preferred: Billing experience
      • CPT/HCPC Coding experience
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Manages the maintenance of daily, monthly and fiscal year-end, changes and deletes to the hospital charge master.
    • Participate in various operational areas which effect reimbursement maximization, billing compliance and financial risk management.
    • Works with clinical department personnel, financial planning, information systems and billing to coordinate charge master updates.
    • Stays current with and interprets organizational impact of state or federal charge, coding, and reimbursement changes.
    • Work closely with Patient Financial Services Revenue Cycle Billing Manger to ensure Charge Master coding and billing requirements remain current.
    • Develops and maintains Charge Master policies and procedures to ensure accurate and current Charge Master maintenance.
    • Monitor Revenue and Charge Capture Reports for possible missed opportunities.
    • Participate in appropriate conferences, meetings to stay current with Charge Master maintenance issues.
    • Assist Controller in complying with the organization-wide charge pricing policy.
    • Provide Charge Master database ad hoc analysis and reports as requested.
    • Provide problem resolution related to charging issues for assigned (as Revenue Custodian).
    • Coordinates educational webcast sessions for revenue cycle areas.
    • Performs other duties as assigned.

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