Chargemaster Coordinator

Role Description

This job researches and analyzes billing and charging errors/edits and identifies, documents and recommends solutions to the root cause of errors/issues. Trains in all Revenue Integrity software, Ochsner’s patient accounting system and all applicable billing systems. Participates in meetings related to Revenue Integrity and provides written communication to all applicable stakeholders in order to ensure billing compliance and revenue optimization. Makes recommendations to improve revenue processes, maximize efficiency, and serve internal and external customers. Manages special projects as they relate to edit resolution and revenue cycle enhancement and stays current on billing and charging regulations defined by governmental agencies.

Qualifications

• Required: High School diploma or equivalent
• Preferred: Bachelor's degree in Finance, Accounting, Business, Healthcare Administration or related field
• Preferred: Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.

Requirements

• Required: 8 years healthcare or relevant experience including hospital, clinic, medical office, business services, revenue cycle, insurance industry, information technology and/or consulting.
• Preferred: Related professional certification (e.g. CIA, CPA, CISA, CPC, CPC-A, CCS, Epic, etc.)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong analytical and problem solving skills.

Job Duties

• Resolves edits and exceptions and coordinates the resolution of charge session edits on a timely basis.
• Develops measures to track, trend and monitor charge sessions.
• Provides consistent and clear feedback to the Internal Consultants.
• Seeks ways to enhance professional competency through continuing education, participation in lectures, seminars committee meetings etc., relevant to the industry and creating and maintaining a career map.
• Other related duties as required.

Physical and Environmental Demands

• Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects.
• Must be able to sit for prolonged periods of time.
• Normal routine involves no exposure to blood, body fluid or tissue.
• There is no occupational risk for exposure to communicable diseases.