Charge Master Specialist - HOU in Houston, TX at Parallon

Date Posted: 6/6/2018

Job Snapshot

Job Description

Job Summary – The Chargemaster Specialist is responsible for maintaining the daily workflow and approval process to update client facility chargemasters and related processes. As part of this role, this individual must demonstrate strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner.

 
Supervisor – Chargemaster Manager
 
Duties (included but not limited to):
• Analyze all facility and Supply Chain requests for additions, modifications, and inactivation’s to client facility chargemasters as compared to client and regulatory standards.
• Maintain daily workflow approvals or rejections of these submissions.
• Ensure all approved requests are entered accurately and timely into the client Health Information System (HIS) and that the entries flow from the client HIS to the HCA Patient Accounting system.
• Analyze chargemaster standard exception reports, according to the frequency required by policy, and perform associated analyses and necessary updates.
• Under the direction of the Chargemaster Manager, assist in the coordination of annual pricing updates with client facility Chief Financial Officers (CFOs), Division CFOs, and staff.
• Assist with monitoring of all client facility chargemasters to ensure compliance with federal, state, and client specific standards.
• Ensure appropriate updates to client facility chargemasters are made with quarterly HCPCS and annual CPT changes.
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
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
Technical Expertise - understanding of billing, reimbursement, compliance, and HCPCS/ CPT coding assignment
PC skills - demonstrates proficiency in Microsoft Office applications and others as required
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
Technical skills - Professional presentation skills needed to represent facilities in legal issues.
Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
Clinical skills – ability to read and interpret medical records a plus
 
EDUCATION
• Associate’s Degree required, preferably in a healthcare field
• Equivalent work experience may substitute degree requirement
 
EXPERIENCE
• Minimum of three years related work experience required.
• Knowledge and experience with HCA Patient Accounting, Artiva/Collections, HCA Meditech, and Smart software is highly desirable.
 
CERTIFICATE/LICENSE -
Certified coding credentials preferred.