Senior Analyst in Omnichannel Analytics turning complex data into insights for CVS Health. Analyze customer interactions to improve experiences across digital, retail, and pharmacy channels.
About the role
- Senior Charge Analyst serving as liaison among clinical operations and revenue cycle for charge capture compliance. Identifying areas for overcharging/undercharging and ensuring accurate billing processes.
Responsibilities
- Develop and maintain charge description masters for central Ohio operations
- Research federal, state, and non-governmental requirements to assign compliant billing codes for each payer
- Determine patient prices in accordance with principals of chargemaster standardization, governmental and non-governmental reimbursement methodologies, and with awareness of uninsured or non-covered patients
- Ensure that each chargemaster is comprehensive for all department services
- Research, comprehend and apply to OhioHealth chargemasters all changes resulting from annual and quarterly federal and state regulatory changes, including those from CMS Centers for Medicare and Medicaid Service s and the American Medical Association
- Communicate changes to operations leaders and department resource persons
- Provide necessary education or serve as resource person for education by leaders to their associates
- Serve as resource person to campus leaders for research on new technology, alternate reimbursement methodologies, and non-hospital settings
- Audit medical documentation for accuracy and appropriateness of facility billing based on Medicare/Medicaid guidelines
- Assist manager and director with special projects which are typically non-routine in nature
Requirements
- Bachelor's degree or equivalent experience
- Certification in at least one of the following: RN, LPN, RHIA, RHIT, CPC, or other coding credential preferred
- Experience with Epic is preferred
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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