Charge Master Analyst
Facility: Scripps Health Corp
Location: San Diego, CA
Career Area: Health Information
Employment Type: Full Time
Shift: Day
Job ID: 242007813
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Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers.
Job Description
This is a full-time, benefit eligible position located in San Diego. Must be local or willing to relocate to San Diego.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
- #5 in Fortune Best Workplaces in Health Care 2023
- #78 in 2023 PEOPLE Companies that Care
- #95 in Fortune 100 Best Companies to Work for 2023
- Recognized by Newsweek as one of America’s Greatest Workplaces for Diversity in 2024
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
The Chargemaster Analyst maintains the Scripps Health facility chargemasters within applicable coding guidelines and according to Scripps policies and procedures; provides reimbursement analysis; assists with bill problem resolution; and provides coverage guidelines for billable services. Provides other support to the Manager of Chargemaster as requested. Chargemaster Department duties include but are not limited to Monitors and maintains hospital departmental chargemasters to ensure billing accuracy of new and existing service codes. . Insures the appropriate bundling or unbundling of charges so that all charges are submitted to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement Analysis duties include but are not limited to: Assists Patient Financial Services billing personnel in resolving third-party payor billing problems. Develops reports to assist with analysis of reimbursement practices of third-party payors. Develops reports to evaluate the reimbursement effect of third-party payor contract proposals as requested by the facility Fiscal Directors and or financial analysts. Provides analytical support related to reimbursement and billing to facility Fiscal Directors and or financial analysts.
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Required Education/ Experience/Specialized Skills:
- Three years experience in a chargemaster or revenue integrity related role;
- OR – Coding certification(CCS, CPC, CPC-H, RHIT, RHIA);
- OR – Bachelors’ Degree (preferred in health care-related field, business, finance or accounting);
- OR – AA Degree or Health Care Professional Licenses (i.e. nursing, radiology, respiratory therapy)
- Demonstrate knowledge of procedural coding for Medicare, Medi-Cal and California Workers Compensation, HCPCS coding and revenue coding for an acute provider.
- Personal characteristics of success in this function include:
- Ability to work in a environment with changing priorities.
- Working knowledge of Microsoft Office Programs (Excel, Word, Access, PowerPoint).
- Experience in working with large database, particularly extracting and manipulating specific files.
- Demonstrates good analytical skills.
- Must apply knowledge of medical terminology to a wide range of therapeutic and diagnostic situations.
- Skilled in written and verbal communications, with the ability to effectively motivate others, to convey complex information in a clear and concise manner, and to prepare and present a variety of reports and analyses.
- Must be able to interact tactfully and effectively with physicians, clinicians, nurses and other professionals both inside and outside of the Scripps organization on sensitive and/or complex topics.
- Ability to plan and schedule tasks and projects.
- Self-starter, self motivated.
- Must also work well in team situations.
Preferred Education/Experience/Specialized Skills/Certification:
- Coding Certification CPC, CPC-H (AAPC) or CCS (AHIMA) preferred.
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
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About Us
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of healthcare. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Scripps Health is the only San Diego-based company to make Fortune magazine’s 100 Best Places to Work. Our people and their commitment to the highest standards of care are what define us.
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