IS/Charge Master Analyst
At Harris Health System, we champion better health for our patients, their families and our community, by connecting them to an integrated healthcare system that provides high-quality healthcare. Harris Health focuses on the delivery of primary care, wellness and prevention services to the residents of Harris County, Texas, through its extensive network of inpatient and outpatient facilities. Harris Health is a proud recipient of the prestigious National Committee for Quality Assurance designation for its patient-centered medical homes. Harris Health's medical faculty and residents are provided by its nationally recognized medical school partners: Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.
Skills / Requirements
Maintains the CDM and CDM file to ensure accurate charge capture. Conducts pricing updates and makes recommendations based on published schedule (MDR). Communicates with departments the need for change/action as it pertains to charge capture. Completes periodic revenue analysis to identify charge variances. Develops and applies pricing algorithms to ensure pricing is consistent among departments. Works with IT staff to ensure Charge Master information is properly routed to claim forms, ensures items meet regulatory compliance guidelines. Maintains encounter forms. Stays abreast of Medicare and Medicaid coding and reimbursement requirements. Prepares monthly reports to inform Management of any changes in CDM/Charge Master and revenue volume.
Degrees / Work Experience / School Education:
Bachelor's Degree in Heath Information Systems, Business, Health Administration preferred (And) Five (5) Years Work Experience hospital business office experience or CPT-4, HCPCS. Understanding of pricing methodology, CDM and Charge Master Maintenance and 3rd party billing and reimbursement experience preferred.
High School Diploma or GED (And) Nine (9) Years Work Experience hospital business office experience or CPT-4, HCPCS. Understanding of pricing methodology, CDM and Charge Master Maintenance and 3rd party billing and reimbursement experience preferred.
Communication Skills: Above Average Verbal (Heavy Public Contact), Writing /Correspondence, Writing / Reports
Proficiencies: MS Excel, P.C., Typing 40 WPM
Knowledge/Skills/Abilities: Analytical, Mathematics, Statistical
Work Schedule: Weekends, Flexible
Other Requirements: Must be able to interact successfully in a culturally diverse environment
Equipment Operated: PC, MS spreadsheets, general office equipment