[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.ResponsibilitiesAnalyzes and conducts financial reviews to determine charge capture accuracy and comprehensivenessReviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational auditsReviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staffEnsures accurate establishment of clinical charges, descriptions and billing codes in the charge masterEnsures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentationEnsures compliance with pricing policyLeads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price masterLeads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committeesWorking with groups, also develops new areas of review for future revenue enhancementCollects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goalsWorks with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patientWorks closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achievedProvides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge masterManages communication of routine changes to coding and billing protocols and conventions to affected clinical departmentsAccountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and complianceAssist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflowSkills1 to 3 years of previous experience in a similar roleAnalyzes and conducts financial reviews to determine charge capture accuracy and comprehensivenessReviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational auditsReviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staffEnsures 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 documentationEnsures compliance with pricing policyLeads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price masterLeads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committeesWorking with groups, also develops new areas of review for future revenue enhancementCollects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goalsWorks with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patientWorks closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achievedProvides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge masterManages communication of routine changes to coding and billing protocols and conventions to affected clinical departmentsAccountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and complianceAssist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflowCRCR, required within 9 months of hire (company paid)Experience in the healthcare industryCharge Master, EAP and coding experience are highly preferredExperience in physician and hospital operations, compliance and provider relationsMust be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiencesEpic Certification preferredAAPC, or similar certification preferredBenefitsBonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementAssociate 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 OverviewEnsemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices. It was founded in 2014, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is https://ensemblehp.com.