Charge Master Manager in Houston, TX at Parallon

Date Posted: 3/6/2018

Job Snapshot

Job Description

Job Summary - The Chargemaster Manager is responsible for the maintenance and overall integrity of facility chargemasters. This individual will oversee monitoring to ensure that all chargemasters remain compliant with applicable federal and state guidelines, as well as any standards set forth by facilities. This individual must demonstrate strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner.

Supervisor – Compliance Director

Supervises – Chargemaster Analyst and Specialist
Duties (included but not limited to):
• Ensure proper maintenance of facility chargemasters and related processes by monitoring, or overseeing the monitoring, of standard exception reports and daily workflow approval processes.
• Ensure appropriate updates to facility chargemasters are made with quarterly HCPCS and annual CPT coding changes.
• Coordinate annual pricing updates with client facility Chief Financial Officers (CFOs), Division CFOs, and staff, as needed.
• Utilize an electronic audit trail and workflow to approve chargemaster modifications, additions and deletions.
• Coordinate with SSC Directors and Managers to identify trends and address issues related to claim rejections or payment denials directly associated to billing information generated by the Chargemaster.
• Analyze chargemaster standard exception reports according to the frequency required by policy and perform associated analyses and necessary updates.
• Review results of periodic audits and take appropriate action as indicated
• Evaluate education needs related to chargemaster and conduct periodic staff and customer in-services
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned

Job Requirements

Organization - proactively prioritizes needs and effectively manages resources
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills - able to work effectively with other employees, patients and external parties  
PC skills - demonstrates proficiency in Microsoft Office applications and others as required
Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
Tactical execution - oversees the development, deployment and direction of complex programs and processes
Technical Skills - Understanding of billing, reimbursement, compliance, and HCPCS/CPT code assignment
Project Management - assesses work activities and allocates resources appropriately
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.
• Minimum three years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.
• Chart/Bill audit experience preferred
• Certified coding credentials preferred
• Experience with the HCA Patient Accounting, Artiva/ Collections, Meditech, and Smart software is a plus