Sr Charge Master Analyst - Remote
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Cooper University Hospital
Camden, NJ, US
Summary
Oversee the maintenance of the Chargemaster to ensure proper revenue generation, reimbursement, and compliance with government requirements. Analyze charge edits and denials to implement strategy corrections and provide education to various departments on billing and coding errors.
Job Description
About Us
At Cooper 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 Description
The 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 requirements
- Manages 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 implementation
- Works in coordination with Revenue Integrity staff as problems are discovered to help strategize changes needed in workflows, IT systems, interfaces due to CDM settings
- Implements charge strategy, coding, workflow, corrections and facilitates rebilling as necessary for the resolution of compliance, reimbursement or denial issues
- Develops anticipatory measures and solutions in response to patterns discovered through audit, analysis, review with department users
- Communicates, helps to develop, and conducts education to various departments regarding charging, coding, and billing errors that are identified
- Participates in internal and external audits focused on charge capture or CDM issues
- Capable 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 Required
- 5-7 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 Correct
- Proven 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 facility
Education Requirements
- Healthcare certification program - CPC, RHIT, or other healthcare clinical certification (Radiology, Respiratory Therapy, etc.)
- College degree, will consider significant work experience in exchange
Salary Min ($)
USD $37.00
Salary Max ($)
USD $61.00
Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has nearly 14,000 team members including 1,600 nurses, more than 1,000 employed physicians representing 95 specialties and subspecialties, and more than 600 advanced practice professionals. Hospitals throughout the region send their most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.
Ranked year after year by U.S. News & World Report as one of the top health systems in the Philadelphia Metro area, Cooper is consistently recognized for its quality, safety, and exceptional patient care.
Cooper has three hospitals: South Jersey’s only Level I trauma center, Cooper University Hospital in Camden, which is the busiest trauma center in the Philadelphia region; Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital at Cooper, which is the only Level II pediatric trauma center in the Delaware Valley. Cooper is also home to a leading cancer center (MD Anderson Cancer Center at Cooper), six urgent care centers, and more than 130 outpatient offices from the Delaware River to the Jersey Shore, including large regional hubs in Camden, Cherry Hill, Moorestown, Voorhees, Willingboro, and Sewell.
Cooper University Health Care is affiliated with – and its physicians make up the faculty of – Cooper Medical School of Rowan University, which is located on the Cooper Health Sciences Campus in Camden, New Jersey. Cooper has a long history in the City of Camden and is playing a leading role in its revitalization.
Founded
1887
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
Camden, NJ
Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has nearly 14,000 team members including 1,600 nurses, more than 1,000 employed physicians representing 95 specialties and subspecialties, and more than 600 advanced practice professionals. Hospitals throughout the region send their most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.
Ranked year after year by U.S. News & World Report as one of the top health systems in the Philadelphia Metro area, Cooper is consistently recognized for its quality, safety, and exceptional patient care.
Cooper has three hospitals: South Jersey’s only Level I trauma center, Cooper University Hospital in Camden, which is the busiest trauma center in the Philadelphia region; Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital at Cooper, which is the only Level II pediatric trauma center in the Delaware Valley. Cooper is also home to a leading cancer center (MD Anderson Cancer Center at Cooper), six urgent care centers, and more than 130 outpatient offices from the Delaware River to the Jersey Shore, including large regional hubs in Camden, Cherry Hill, Moorestown, Voorhees, Willingboro, and Sewell.
Cooper University Health Care is affiliated with – and its physicians make up the faculty of – Cooper Medical School of Rowan University, which is located on the Cooper Health Sciences Campus in Camden, New Jersey. Cooper has a long history in the City of Camden and is playing a leading role in its revitalization.
Founded
1887
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
Camden, NJ
