[Remote] Charge Description Master Analyst I

Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Charge Description Master Analyst I will analyze and conduct financial reviews to ensure charge capture accuracy and comprehensiveness, while collaborating with various departments to enhance revenue cycle goals.

Responsibilities

• Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness
• Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits
• Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff
• Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master
• Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation
• Ensures compliance with pricing policy
• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master
• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees
• Working with groups, also develops new areas of review for future revenue enhancement
• Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals
• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient
• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved
• Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master
• Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments
• Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance
• Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow

Skills

• 1 to 3 years of previous experience in a similar role
• Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness
• Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits
• Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff
• Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master. Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation
• Ensures compliance with pricing policy
• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master
• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees
• Working with groups, also develops new areas of review for future revenue enhancement
• Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals
• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient
• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved
• Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master
• Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments
• Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance
• Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow
• CRCR, required within 9 months of hire (company paid)
• Experience in the healthcare industry
• Charge Master, EAP and coding experience are highly preferred
• Experience in physician and hospital operations, compliance and provider relations
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
• Epic Certification preferred
• AAPC, or similar certification preferred

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Company Overview