Careers

Charge Master Analyst | Managed Care | Full Time 40 Hours

Rapid City, SD USA Full time 22_3105.1

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COVID Vaccination Statement

Ensuring the safety and well-being of our patients, visitors, staff, and communities is our deepest commitment at Monument Health. As a condition of employment, Monument Health requires all employees be fully vaccinated * against COVID-19, or have obtained an approved medical or religious exemption, prior to starting employment. 

*Fully vaccinated means it has been at least two weeks since the completion of a COVID-19 primary vaccination series. COVID-19 primary vaccination series is defined as the administration of a single-dose vaccine (such as the Janssen (Johnson & Johnson) COVID-19 Vaccine) or the administration of all required doses of a multi-dose vaccine (such as the Pfizer-BioNTech COVID-19 Vaccine (interchangeable with the licensed Comirnaty Vaccine) or the Moderna COVID-19 Vaccine).

Pay Rate Range

$23.36

to

$29.20

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Charge Description Master (CDM) Analyst position is in place to assist in the maintenance of the CDM and all other fee schedules to assure appropriate CPT and HCPCS are reported for procedures, supplies, and within all fee schedules. This caregiver will begin work immediately aimed at successful completion of CDM Epic certification.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

  • Understands the Revenue Cycle and the responsibility and goals of each area and how they impact the financial wellbeing of the organization.
  • Verifies all necessary elements in the electronic medical record; appropriate charges for services rendered, accurate coding for services, with some knowledge of the reason for denials and their impact on the organization’s financial wellbeing.
  • Assists the CDM Supervisor in development, support, and maintenance of the CDM, all fee schedules, charge capture and entry systems and processes for all points of reve­nue capture.
  • Serves as chargemaster liaison to facilitate clinical department education on appropriate reporting of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues.
  • Applies knowledge to ensure that charges are accurate, billed correctly, and supported according to various payer and regulatory requirements.
  • Performs formal review of annual and quarterly CPT/HCPC changes and assists in the preparation of educational documents by specialty, highlighting significant changes and assists in plans for required changes at the department level.
  • Reviews and assists with maintenance of chargemaster compliance reports. Assists with all other nec­essary projects to maintain the chargemaster or fee schedule file.
  • Supports timely implementation of coding updates (CPT/HCPCS), periodic UB Revenue Code updates, modifier revisions and regulatory updates to CDM.
  • Analyzes file data for evidence of deficiencies in controls, duplication of effort, or lack of compliance with laws, government regulations and policies and procedures.
  • Collaborates with facility and/or other personnel to analyze CDM billing processes and identify root causes for claims issues/rejections.
  • Research regulatory requirements relevant to charges, monitors trends, and maintains knowledge of charge-related regulations and standards.
  • Participates in the planning, development, implementation, and maintenance of departmental monitoring tools.
  • All other duties as assigned

Additional Requirements

Required:
Education - High School Diploma/ GED

Certification – Epic CDM certification through the appropriate agency within first year of employment.

Experience – Healthcare experience 3+ years

Preferred:

Education - Bachelor’s degree in healthcare management or Outpatient Coding experience

Physical Requirements:
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Credit and Collections

Department

CS Managed Care

Scheduled Weekly Hours

40

Shift

Employee Type

Regular

15 Corporate Services Division

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Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

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