Charge Master Analyst

Scripps Health

  • San Diego County, CA
  • Permanent
  • Full-time
  • 2 months ago
This is a full-time, benefit eligible position located in San Diego. Must be local or willing to relocate to San Diego.Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.The Chargemaster Analyst maintains the Scripps Health facility chargemasters within applicable coding guidelines and according to Scripps policies and procedures; provides reimbursement analysis; assists with bill problem resolution; and provides coverage guidelines for billable services. Provides other support to the Manager of Chargemaster as requested. Chargemaster Department duties include but are not limited to Monitors and maintains hospital departmental chargemasters to ensure billing accuracy of new and existing service codes. . Insures the appropriate bundling or unbundling of charges so that all charges are submitted to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement Analysis duties include but are not limited to: Assists Patient Financial Services billing personnel in resolving third-party payor billing problems. Develops reports to assist with analysis of reimbursement practices of third-party payors. Develops reports to evaluate the reimbursement effect of third-party payor contract proposals as requested by the facility Fiscal Directors and or financial analysts. Provides analytical support related to reimbursement and billing to facility Fiscal Directors and or financial analysts.#LI-JS1QualificationsRequired Education/ Experience/Specialized Skills:
  • Three years experience in a chargemaster or revenue integrity related role;
  • OR - Coding certification(CCS, CPC, CPC-H, RHIT, RHIA);
  • OR - Bachelors' Degree (preferred in health care-related field, business, finance or accounting);
  • OR - AA Degree or Health Care Professional Licenses (i.e. nursing, radiology, respiratory therapy)
  • Demonstrate knowledge of procedural coding for Medicare, Medi-Cal and California Workers Compensation, HCPCS coding and revenue coding for an acute provider.
  • Personal characteristics of success in this function include:
  • Ability to work in a environment with changing priorities.
  • Working knowledge of Microsoft Office Programs (Excel, Word, Access, PowerPoint).
  • Experience in working with large database, particularly extracting and manipulating specific files.
  • Demonstrates good analytical skills.
  • Must apply knowledge of medical terminology to a wide range of therapeutic and diagnostic situations.
  • Skilled in written and verbal communications, with the ability to effectively motivate others, to convey complex information in a clear and concise manner, and to prepare and present a variety of reports and analyses.
  • Must be able to interact tactfully and effectively with physicians, clinicians, nurses and other professionals both inside and outside of the Scripps organization on sensitive and/or complex topics.
  • Ability to plan and schedule tasks and projects.
  • Self-starter, self motivated.
  • Must also work well in team situations.
Preferred Education/Experience/Specialized Skills/Certification:
  • Coding Certification CPC, CPC-H (AAPC) or CCS (AHIMA) preferred.

Scripps Health