Senior Charge Management Coordinator

• Ensure appropriate charge master maintenance occurs.
• Oversight of External System Charge Interfaces.
• Maintain Grant Pricing Perform financial analysis for operational and executive use.
• Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services to assure CDM compliance.
• Develop relationships with payors to resolve issues.
• Maintain compliance standards for providing accurate information on all facility claims.
• Carries out other assignments or special projects as assigned.
• Responsible for ensuring all appropriate charges for complex service lines are being captured and documented in accordance with policies and procedures, and applicable regulatory standards and requirements.
• Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.
• Conducts thorough review of medical records and utilizes coding expertise to ensure that clinical documentation supports all billed charges.
• In addition to the above job responsibilities, other duties may be assigned.

MINIMUM REQUIREMENTS
Education: Bachelor's degree required or relevant experience may be considered in lieu of Bachelor's degree.
Experience: A minimum of five years of experience required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required Understanding of CPT level II and III HCPCS and hospital charging methods is essential General comprehension of medical terminology is necessary.
Licensure: none

PHYSICAL DEMANDS
Job requires sitting for prolonged periods, frequently traveling (no more than two miles); Repetitive motion: (Typing). Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull < 20lbs. May be exposed to cold, heat and outdoor climate.

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