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
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