Billing and Insurance Specialist Job In Irving, Texas
Charge Master Analyst II-Revenue Integrity-Full Time
Irving, Texas 75039 Type of Facility: Hospital
Summary:
The Charge Master Analyst II will be responsible for ensuring accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policies for the enterprise. This will include researching alternative procedures, software and equipment designed to improve operational effectiveness through comparison to comprehensive AMA/CPT and HCPCS service, drug, supply item grids as potential billable services. Provides charge description master expertise and advice related to charge description master management with the goals of attaining reimbursement accuracy, reducing denials, and maintaining regulatory compliance. The Charge Master Analyst II is an internal subject expert. Internal consultant to revenue-producing departments. Additionally, the Charge Master Analyst II will be responsible for the complete CDM maintenance process for all regions including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.
- Responsible for the Charge Description Master (CDM) maintenance process for the CHRISTUS enterprise including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.
- This includes the upkeep of mapping tables from legacy CDM to CHRISTUS standard CDM.
- Coordinate the interaction with Regional Leadership and Directors regarding implementation of new or revised codes.
- Coordinate the research, analysis, education of CDM changes as appropriate.
- Coordinate revenue capture and charge audit procedures with regional patient financial services, hospital information management (HIM), information services and regional department directors and/or managers Oversee the development of policies and procedures to ensure CDM updates are appropriately identified, adhere to necessary regulations and standards, are reviewed, approved and communicated to appropriate regional staff and implemented in a timely manner.
- Ensures accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policy.
Requirements:
- Bachelor's Degree
- 3-5 years of experience in Hospital Billing, Compliance and Audit.
- Epic Certification Preferred.
Work Schedule:
TBD
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.