A major medical facility in Melville, NY seeks a Revenue Cycle Analyst/Chargemaster. This is a full-time position and is onsite 3 days a week.
Skills and Knowledge
- Outpatient Medicare and Medicaid coding and billing regulations
- All components of the chargemaster including but not limited to CPT, HCPCS, modifier, revenue codes and CDM descriptions to assure compliance and regulatory requirements
- Hospital or Physician coding and Billing experience
- Proficient in using Microsoft applications including Excel and Word
- Hospital charging systems and charge capture process
- Good organizational and communication skills
- Ideal candidates will have experience working with EPIC, Craneware Bill Analyzer.
Responsibilities
- Scope of activities include accurate establishment of clinical charge capture, researching and resolving charge system problems and analysis of current systems for purposes of identifying system improvements
- Documents system performance, to ensure accuracy, compliance, and to improve revenue
- Perform audits to evaluate if all charges are being captured appropriately
- Performs maintenance of the EAP and Fee Schedule, MPI, JBF, crosswalk master files, panels and driver files, preference list and other
- Ensures that all chargemaster additions, deletions, and modifications are appropriately communicated to the departments, builders, trainers and related ancillary systems
- Assist on maintenance of historic CDM (JBF nat acct), EPIC, CDM next number (JBF separate) Optime CDM, Panel Drivers, other files
- Serves as a communication link between staff, physicians, charge nurse, business office, revenue cycle director, and other reimbursement specialists in discussing issues, recommendations, solutions and answering questions related to charges and charge master
- Generates the report of the most recent EAP master charges and fee schedule and uploads/imports text data in EPIC when necessary
- Works with the application teams to build all charges, charge capture methods, charge review, reconciliation reports and work queues for all workflows
- Resolves errors identified through EPIC work queues
- Procedure is reviewing and analyzing of documentation, charge capture professional/technical, CPT code, procedure (EAP) master file, charge linked, orders, interface, fee schedule, system build, charge router rules, charge trigger, cost assignment, etc.
- Coordinate and perform analysis for annual CPT and HCPCS code updates to identify deletions, modifications that need to be made in EPIC System Standard CDM and Informatic Staff.
- Performs analysis utilizing Craneware Bill Analyzer
- Review bulletins and publications for coding and billing updates to communicate with affected departments and sustain understanding of the regulatory requirements
- Responsible for resolving any coding related errors and denials that are identified by the Hospital's billing system as a part of the revenue by designated work queues
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- 8 hour shift
Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
