Staff Analyst - Charge Description Master Analyst

Salary Range $6,806.73- $9,820.80 /Month

SUMMARY

We are seeking to hire Charge Description Master Analyst responsible for the maintenance of the Enterprise Charge Description Master (CDM).

The selected candidate will be responsible for performing administrative and technical CDM maintenance duties and ensure that hospital and clinic charges are captured accurately, promptly, and in compliance with Federal, State, and local health care regulatory agencies.

This position requires a dedicated individual who can manage a variety of responsibilities, demonstrate strong problem-solving abilities, and work effectively within a collaborative environment.

ESSENTIAL FUNCTIONS


* Ensure effective capture and reporting of charges in both the Oracle Cerner Millennium Electronic Health Record (EHR) and QuadraMed Affinity RCO systems.


* Work closely with various clinical departments within DHS’ EHR Solution, such as Radiology, Laboratory, Oncology, Physical Therapy, Occupational Therapy, Cardiology, and others, to ensure that CDM workflows, documentation, and charge capture systems are accurate and consistently updated. 


* Perform research and analysis on charge data capture that results in denials such as deleted and/or modified CPT/HCPCS codes.


* Assist with resolving and implementing EHR and Affinity RCO errors in workflows, designs, and other revenue cycle system problem.


* Support Charge Master maintenance and updates process, financial/operations impact analysis and review including CPT, HCPCS code, Revenue Codes, Relative Unit Values, Resource Based Relative Value Scale, National Drug Codes, etc.

assignment, for the EHR and Patient Accounting.


* Conduct quarterly, annual, or as-needed reviews to ensure that the Charge Description Masters (EHR and Affinity RCO) are updated for new and revised CPT4/HCPCS codes. 


* Process supplies for charge capture in EHR and billing system (Affinity RCO).


* Assist staff with creating Data Collection Workbooks (DCWs) for charge configuration builds.


* Participate with testing of both the EHR and Affinity RCO charging functionality. 


* Validate testing procedures to ensure that new workflows generate charges properly.

This includes knowledge of supplies and vendors, as well as, assigning HCPCS to implants and other surgical items.


* Participate in audits to verify compliance with standardized procedures and other code assignment in the EHR, Patient Accounting systems, etc.

for adherence to changes/updates required by CMS, other regulatory agencies, and DHS policies.


* Comply with the Charge Master Department’s policy and procedures related to charge codes and descriptions.


* Effectively coordinate and facilitate user interaction with Clinical and Enterprise Clinical Services (ECS) teams to define and validate processes that assure effective and efficient charge flows.


* Maintain files that contain the audit trail of Charge Description Master ...