Charge Master Manager in Nashville, TN at Parallon

Date Posted: 6/29/2018

Job Snapshot

Job Description

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.

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 t o 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 

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES• 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
• 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 

EDUCATION
• Bachelor’s Degree in Business or related field required. 
• Equivalent work experience may substitute education requirements. 

EXPERIENCE
• 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