Associate Director

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization Charge Master Spvr Job Summary The Associate Director for Chargemaster Management is responsible for maintaining an accurate and complete charge description master, for both hospital and professional billing, and reports to the Associate Vice President of Finance. The position will require supervision of staff in performing data analysis, periodic audits, information queries, external audits and other special projects necessary to optimize revenue generation and maintain compliance with governmental and third-party payer requirements. Key Responsibilities Supervises the work of staff to implement changes in the CDM Works with the VUMC Health IT staff to ensure all subsystems and charge capture applications are updated Works with Managed Care Contracting, Revenue Integrity, Revenue Cycle, and Clinical Departments to research, design and implement charge code and charge structure improvements and participate in ongoing coordination and resolution of revenue issues Conducts billing audits as considered necessary to rectify any potential issues with charging Assists Revenue Cycle in CDM related and claim problem resolutions Implements and maintains the EPIC EAP HB file and PB chargemaster for VUMC including annual coding updates, fee schedule adjustments and shell code designs for supplies and pharmacy Follows instructions provided by senior leadership by carrying out assigned activities to promote an updated and compliant CDM for the capture of services, pharmaceuticals and supplies Performs queries of data to assist in the resolution of billing and coding questions Provides education on procedures to maintain charge and reconciliation processes that are compliant Performs timely updates of the chargemaster in alignment with regulatory guidance Mentors and trains new staff on learning clinical and billing system workflows and daily tasks related to the management of the chargemaster Manages and performs all daily activities performed by the chargemaster specialist role to ensure requests for new charges and regulatory updates are completed accurately and timely Supervises and monitors changes to regulatory requirements for the entire patient revenue cycle (i.e., CMS bulletins, transmittals, etc.) and updates the chargemaster timely Performs queries of data to assist in the resolution of CDM related billing and coding questions Technical Capabilities REVENUE CYCLE (INTERMEDIATE): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance. REGULATORY COMPLIANCE (INTERMEDIATE): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them. PROBLEM SOLVING (EXPERT): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities Organizational Impact: Establishes key tactical and operational plans of a sub-function or multiple departments that has longer-term effect on results of the sub-function. Problem Solving/ Complexity of work: Integrate knowledge and in-depth analysis from several area #J-18808-Ljbffr