Job Description

Pride Health is seeking for Chargemaster: Manager for client’s me dical facility, which is Hybrid .

Job Title: Chargemaster Manager

Location: Remote

Job Type: Full time

Location : Charlotte, NC

Rate : $78,000 - $117,000

Job Summary:

Responsible for the oversight, integrity, supervision, and maintenance of the Charge Description Master (CDM), charge capture process, and billing and coding regulatory compliance for laboratory services. Must be knowledgeable of current coding practices and identify ways to help address preventable revenue loss. Advise and collaborate with Compliance, Audit Services, IT, Financial Services, and Finance and Revenue Cycle teams to assess and solve billing, coding, and charging compliance issues. Act as a liaison to both internal and external labeling business partners. Position works in a complex matrixed environment.

Job Responsibilities:

• Maintains a work knowledge of the ICD-10 and CPT/HCPCS coding principles and the AMS/CMS documentation guidelines.
• Works with revenue-producing departments to ensure consistency with chargemaster and charge capture process including accurate descriptions, coding additions, deletions, pricing, revenue codes and any other changes.
• Collaborates with Finance, Revenue Recognition and Performance Service departments to perform applicable analysis to understand budget variances, net revenue change, and labor impact of proposed changes to chargemaster.
• Maintains working knowledge of revenue cycles process to aid in the implementation of regulatory standards that assist the organization in cash collection while accurately complying with billing guidelines.
• Responsible for menu code and coding assignment of all new items or services throughout Laboratory Services.
• Stays current with applicable government rules and regulations, payer changes and compliance, billing, integrity resources and information.
• Solves charging and billing problems by researching and analyzing end-to-end workflow across LIS and HRE.
• Serves as resource to support problem solving around interface testing, workflow design, charge testing, and other billing and charge-related issues.
• Acts as a laboratory subject matter expert by identifying and evaluating CPT code changes, establishes new line items and charges, and provides education to operational leaders.
• Coordinates with internal lab operations practice managers, central billing office, CBOE, etc., to address operational issues that are contributing to denials.
• Copes deliberately and systematically under pressure and projects confidence and a positive role model attitude. Ability to maintain organization and productivity under heavy workload situations. Exhibits confidence and leadership to team under pressure situations.
• Communicates unusual occurrences that may require immediate attention. Documentation is consistent while organized and retrievable.
• Designs and directs the work of the teams. Selects, coaches, and develops teams. Sets clear expectations to inspire and motivate the team. Manages performance by recognizing achievement, providing feedback, and administering progressive discipline when necessary.
• May develop and/or recommend operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's code of ethical conduct and for ensuring that people actions and the actions of employees supervised comply with the policies, regulations, and laws applicable to the organization's business.

Skills:

Required Skills & Experience:

• Knowledge of medical terminology and anatomy and psychology.
• Excellent interpersonal and communication skills, including excellent verbal and writing skills.
• Proven ability to handle multiple tasks and meet deadlines within standards.
• Adaptable and flexible with ability to adapt, drive, and manage change.
• Proficient in Microsoft Windows applications, including advanced Excel knowledge.
• Demonstrated use of critical thinking skills to problem solve.
• Experience working in PeopleSoft, Epic, and LIS.

Preferred Skills & Experience:

• N/A

Education:

Required Education:

• Bachelor’s degree in healthcare administration, business, or related field.

Certifications & Licensure:

Required Certifications & Licensure:

• Must have Certified Professional Coder (CPC) OR
• Certified Coding Specialist (CCS) OR
• Certified Coding Associate (CCA) OR Certified Inpatient Coder (CIC)

Benefits

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Opportunity Employer

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

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