Charge Description Master Analyst II

About the role

Job Description CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position starts at $69,400. Final compensation will be determined based on experience. The role of the CDM Analyst II has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives. The CDM Analyst II will audit and examine the Chargemaster on a routine basis, analyze charge capture data and perform revenue monitoring functions. Regular reviews to ensure adherence with accurate charging, complete documentation and efficient billing in accordance with government regulations will be performed. The CDM Analyst II must have ability to work independently and lead various types of meetings. Job Responsibilities: Collects, analyzes and delivers data driven results using various tools, sources and systems to communicate and collaborate on client assessments and how to achieve performance goals. Performs and delivers routine audits and works with internal and external customers to make key decisions, impacting the organization as a whole or individual departments. Works closely with ancillary departments to establish and maintain positive relations to ensure all goals are achieved Provides training, guidance and support to all CDM Analysts responding to their questions related but not limited to, processes, maintenance, and status of planned changes or updates to the chargemaster. Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments Provides guidance and support to non-clinical and/or clinical departments on questions, processes and the status of planned changes or updates to the chargemaster. Manages communication of routine and non-routine changes to charging, coding and billing protocols to affected clinical and non-clinical departments. Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital chargemaster Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed. Will collaborate with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives. Groups may include representatives from various clinical areas, Coding, Medical Records, Billing, Compliance and Information Systems Leads efforts specific but not limited to Quarterly and Yearly updates to ensure compliance with charging and coding. Performs monthly chargemaster maintenance, routine chargemaster audits, reviewing all changes, communicating with various stakeholders, educating departments and oversight of associated system build validation Communicate to management the progress of assigned projects and completes work queue tasks as assigned Performs other duties as assigned Experience We Love: 4 year/Bachelor's Degree. Combination of post-secondary education and experience will be considered in lieu of degree Six years of experience in the healthcare industry is required. Charge Master, EAP and coding experience are highly preferred Experience in physician and hospital operations, compliance and provider relations Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Certifications: Certifications in patient access or p

Benefits

Additional Information

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

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