Chargemaster Analyst - CBO Reimbursement - Full Time - Days - Remote

Company: ProMedica
Location: Toledo
Posted on: April 4, 2025

Job Description:

Chargemaster Analyst - CBO Reimbursement - Full Time - Days - Remote - (92200)Job Title: Chargemaster Analyst - CBO Reimbursement - Full Time - Days - RemoteCategory: Billing and ReceivablesOrganizational Unit:Location:Position Summary:The Chargemaster Analyst is responsible for all revenue for hospital departments to which they are assigned, as well as ensuring compliant billing.Accountabilities:

• Responsible for research, review, and timely processing of requests from facility departments for new charge codes.
• Works National Correct Coding Initiative (NCCI), Medically Unlikely Edits (MUE), and other billing and claim edits related to assigned departments, and guides departments on opportunities to improve charging practice to reduce or prevent edits.
• Responsible for reviewing Medicare, Medicaid, and other payer guidelines (if needed) to ensure billing compliance.
• Educates and oversees charging in delegated departments to identify issues that cause late bills or non-compliant charging.
• Develops and assigns pricing for new charges within parameters of ProMedica's pricing strategy. May include physician, hospital, or both areas.
• Monitors monthly, quarterly, and annual revenue in assigned departments to identify trends and investigate root causes of unexplained or unexpected variances.
• Responds to yearly audit requests from audit companies as needed; assists with other Revenue Integrity projects as needed.
• Prepares yearly updates for AMA and CMS changes in preparation for each new year, including education to delegated departments.
• Provides feedback to upper management on issues that affect timely, compliant billing.
• Acts as a resource to resolve charge questions for other areas in the billing office or clinical departments - may include hospital, physician, or both areas.Job Requirements:REQUIRED QUALIFICATIONSEducation: High School diploma or equivalent. In some instances, relevant work experience may substitute.Skills: Billing or clinical practice knowledge; Microsoft Office products: Outlook, Word, Excel.Years of Experience: 3 years experience in billing or practice.PREFERRED QUALIFICATIONSEducation: Bachelor's Degree or Nursing Degree.Skills: Epic Experience, Advanced Excel Skills, PowerPoint; WebI or other Business Intelligence reporting; CPT coding.Years of Experience: Medical office experience preferred; Chargemaster experience strongly preferred.ADDITIONAL EXPERIENCEPrevious experience in use of CPT/HCPCS codes for outpatient departments with an understanding of medical terminology, HCPCS/diagnosis codes, charging, and revenue is preferred.Experience in/knowledge of physician office practice and CPT coding/billing.Would prefer someone with strong financial analytic abilities.Must be able to function both independently and as a team member.Competent with computers and office applications.Strong organization skills and ability to multitask and prioritize on a daily basis.Excellent communication and interpersonal skills.Committed to providing excellent customer service.WORKING CONDITIONSPhysical Demands: Able to easily move about workstations.Salary Range: $33,800 - $96,408.We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica.Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org.Equal Opportunity Employer/Drug-Free Workplace.
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Keywords: ProMedica, Toledo , Chargemaster Analyst - CBO Reimbursement - Full Time - Days - Remote, Professions , Toledo, Ohio