Chargemaster Analyst - Days

Job Description

INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Chargemaster Analyst in Oklahoma City, OK. In this position, you'll work 8a-5p, Full-time, with our team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

The System Chargemaster Consultant is responsible for supporting the maintenance of systems, processes, and workflows for the timely and accurate recording of revenue related to the chargemaster (CDM), charge integrity, and charge capture for the INTEGRIS system. The Revenue Integrity department interprets government regulations and affects related process changes throughout the system to ensure staff is compliant with these regulations and follow applicable State and Federal laws, regulations and organizational policies. INTEGRIS is an Equal Opportunity / Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Responsibilities

The System Chargemaster Consultant responsibilities include, but are not limited to, the following :

• Assists in upholding INTEGRIS administrative and fiscal excellence within the Revenue Integrity Department by providing expertise to educate appropriate staff on charging and coding standards, ensuring data management and the accuracy of charging practices.
• Works to resolve charge related issues assigned to the Revenue Integrity department.
• Assists in the evaluation, research and analysis of charging, revenue, and billing to ensure compliance with all payer requirements and determine patterns of charging that will avoid compliance risks and / or increase the propensity for payment of charged services.
• Responsible for the development, implementation, maintenance and audit functions related to the CDM.
• Provides leadership and direction for departments on pricing strategies in accordance with state and federal regulatory guidelines, CMS and Medicare Administrative Contractor rules and regulations, Medicaid specific rules and regulations, and Managed Care contract terms.
• Provides communication and education to appropriate departments regarding annual and quarterly CPT / HCPCS changes and additions.
• Reviews charges and clinical data as directed from targeted points of care to compare services charged verses services recorded.
• Collaborates in a monthly and quarterly review of specialty specific charges to ensure accuracy of information is maintained; reviews and interprets utilization and billing data noting trends and providing recommendations as needed.
• Works with physicians and departments to optimize reimbursement, ensure charge capture and provide feedback on revenue opportunities, documentation, and payor standards. Reports to the System Manager Revenue Integrity

This position may have additional or varied physical demand and / or respiratory fit test requirements.

Please consult the Physical Demands Project SharePoint site or contact Risk Management / Employee Health for additional information.

Normal office environment. Travels to INTEGRIS facilities throughout the state.

Some overnight travel required.

All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Qualifications

About Us

INTEGRIS Health mission : Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.