Chargemaster Analyst - Pittsfield, United States - Berkshire Health Systems

Berkshire Health Systems

Verified Company

Pittsfield, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

DEFINITION/PRIMARY FUNCTIONS

The Charge master Analyst is primarily responsible for ensuring the integrity and maintaining the multihospital CDM within Meditech and the multispecialty physician office CDM within Allscripts for Berkshire Health Systems on an ongoing basis. The individual will work with Berkshire Health System Departments of Health Information Management, Patient Accounting, Budget and Reimbursement, Compliance, Information Systems, Operations/Clinical staff, and other partners to ensure appropriate coding, revenue and reimbursement.
The Charge master Analyst will be responsible for identification of charging, billing and coding issues and related operational practices for Berkshire Health Systems to ensure compliance with federal, state and local regulatory guidelines and respond promptly to inquiries and issues. The individual must possess a comprehensive understanding of patient accounting department operations along with healthcare experience with charge description master (CDM) and the relationship to coding, billing and compliance. This position will develop appropriate CDM items for new services within the Health System, contribute to CDM reviews with outside vendors and work on special projects related to improving operational and financial performance of the Health System. The Charge master Analyst will utilize the Med Assets product to assist with CDM management that includes but is not limited to coordination of changes, additions, deletions, electronic audit trail, and user training within the Health Systems.
POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)

Experience:

Two plus years experience in a professional healthcare environment.

Experience with managing or supervising, work processes, in a business environment.

Exhibit expert knowledge base associated with medical terminology, clinical procedures, CPT/HCPC/UB04/1500 revenue coding and claims processing, modifiers, Medicare regulations and reimbursement methodologies.

Computer proficient including Meditech, Allscripts, 3M, report writing software, Microsoft Word, Excel, Power Point.
Exhibits strong communication and organizational skills.
Additionally, knowledge of hospital and physician billing and reimbursements
Demonstrated strength in the core values of the organization.

A mature approach to problem solving for all types of issues.
Detail orientation.
Knowledge of healthcare financial statistical indicators.

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Education and Training:

Associate Degree in Healthcare, Business, or Finance required; with one of the following CCS, RHIT, RHIA, or minimum of 2 years in coding experience or additional equivalent experience required.

Bachelor Degree preferred.-
License, Certification & Registration:

CCS, RHIT, RHIA, or minimum of 2 years coding experience or equivalent experience required.
Other Requirements:
Ability to contribute creativity, motivation and facilitate participation.
Ability to prioritize work and take direction.
A self motivator with the ability to work with minimum supervision.
Flexible to re
prioritize as needed.
Must have the ability to communicate technical ideas clearly and effectively with outside vendors and other BHS Fiscal and MIS personnel.
Must have the ability to train and provide support and guidance to department staff on technical issues relating to Chargemaster and compliance with federal, state, and local regulations.
Exceptional communication skills, both verbal and written, and interpersonal relationship skills are required.
Must have the ability to work independently in an organized and systematic manner, with attention to detail and accuracy.
Must possess the ability to handle stressful situations calmly and rationally and work under deadline pressures.