Job Posting: Chargemaster Coordinator - Coder (Monday-Friday 8:00am-4:30pm)
Employment Type: Full Time
Location: Washington Regional Medical Center - Fayetteville, AR
Department: Revenue Integrity
Shift: Monday - Friday Days
Job Number: JO-2108-43352
Date Posted: 8/3/2021
Categories: Certified Professionals
Washington Regional Medical Center is our regions only locally governed, community-owned, not-for-profit healthcare system. Our system includes a 425-bed acute care hospital located in the heart of Fayetteville supported by our clinic system - including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education.
Vision: To be the leading healthcare system in Northwest Arkansas --- the best place to receive care and the best place to give care.
Values: To treat others patients and their families, visitors, physicians, and each other as we would want to be treated.
The role of the Chargemaster Coordinator reports to the Revenue Integrity Manager. This position is responsible for maintaining a compliant Chargemaster for both hospital and professional billing through daily, monthly and annual maintenance. The Chargemaster Coordinator will focus on accuracy and completeness of system wide charges, coding and billing through a strong understanding of Medicare rules and regulations as well as CPT-4 and ICD-10 coding guidelines. This position will work with each charge department to maintain appropriate charge capture processes and provide ongoing communication regarding changes in government payment rules. This position will be responsible for performing focus bill audit requests, researching payer policies, assisting with resolution of edits on failed claims, and maintaining coding and regulatory changes. This position will spend 90% of the time sitting and 10% of work time standing and/or walking short distances.
Review, analyze and complete new item or procedure requests for hospital and clinics on daily basis
Ensure timely turnaround of hospital and clinic chargemaster requests
Perform monthly hospital supply pricing maintenance on chargemaster
Monitor changes to regulatory requirements for the revenue cycle (i.e. CMS bulletins, transmittals, etc.) and update the chargemaster timely
Review and analyze all quarterly and annual CPT/HCPCS code additions, deletions and description changes, by utilizing CMS rules and regulations and CPT-4 and ICD-10 coding guidelines and make updates to chargemaster accordingly
Ensure charge departments receive notification of annual code changes affecting their department
Maintain payor CPT/HCPCS and Revenue Code crosswalks and contract fee schedules
Work with charge departments to ensure charge master has accurate CPT, UB revenue codes, modifiers and pricing
Provide education to charge departments regarding charge processes, coding and documentation requirements
Perform periodic audits of charge department chargemaster to ensure standardization, identify opportunities for charge capture improvement and any analyses requested by management
Partner with Coding Department to make sure documentation and coding practices align with the chargemaster
Assist with coordination of meetings with department managers and staff regarding new program and procedure developments, validations of new and inactive procedure codes and development of charge codes
Education: Graduate of a Health Information Technology program or healthcare related field. Or minimum 3 years of relevant work experience
Licensure and Certifications: HFMA, NAHRI, AHIMA or AAPC certification: CRCR, CHRI, RHIT, RHIA, CCS, CPC, COC, CIC or obtain certification within a year of hire
Experience: Experience as a coder and/or strong background in billing/coding, auditing of medical records, knowledge of medical necessity policies and CMS rules/regulations, required. Prefer incumbent possess prior experience in related duties and responsibilities such as developing and maintaining chargemaster and knowledge of revenue cycle. Prior knowledge of Centricity and Optum 360 encoder, preferred
How To Apply: