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Empowering the Hands that Heal

Physician Charge Description Master Analyst

Louisville, Kentucky

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Overview

ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states – 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.

Success Profile

What do you need to be successful at ScionHealth? Here are the top traits we’re looking for:

  • Communicator
  • Creative
  • Deadline-oriented
  • Goal-oriented
  • Problem-solver
  • Strategic

Our Culture

  • Driven by quality: We believe that if we focus on delivering quality care, exceeding expectations related to customer service and supporting our people, our business results will follow.
  • We equip our hospitals and our people with the resources, technology and expertise they need to deliver the best possible care to patients.
  • We’re always looking to find better ways to support caregivers by improving what we do, sharing best practices, and responding to the changing needs of our people and the patients they serve.
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Quote

“ScionHealth allows leaders to inspire the organization to take responsibility for creating a better future.”

Jarrell King Talent Acquisition
Jarrell King, Talent Acquisition

Physician Charge Description Master Analyst

Louisville, Kentucky
Facility ScionHealth Corporate Support Center
Req ID 496531 Post Date 01/27/2024 Category Accounting and Finance
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Description

ScionHealth is recruiting for a Physician Charge Description Master Analyst to join our team!Remote candidates will be considered.

Job Summary:

The Physician Charge Description Master Analyst performs complex duties that must bridge an understanding of coding, finance, payer contracting and departmental functions.The position is responsible for the integrity of the ScionHealth physician practice charge description master including compliance with governmental billing regulations.

Responsibilities include ensuring that all items and services such as procedures, patient visits, supplies, and pharmaceuticals that are charged through the CDM are described, appropriate fee assigned and in compliance with coding guidelines and regulatory standards.Responsible for quarterly and annual fee evaluations for all physician markets assigned and monthly evaluation to ensure charges are above the allowable for all insurance contracts.

Essential Functions:

  • Works closely with stakeholders from different functional units on topics, including billing, charge capture, coding, edit/denial management, and/or self-pay management.
  • Reviews all requests for charges, additions, and deletions.Validates accuracy of CPT/HCPS codes, revenue codes and descriptions and assigned appropriate fee.
  • Ensures that patient accounting systems are appropriately updated when changes to the CDM need to occur, including quarterly and annual updates.
  • Reviews payments against charges monthly for each practice to ensure all charges are appropriately set to be lower than the highest contractual payment allowable.
  • Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge.
  • Works with personnel involved in Charge master interfaces and optimization of the process.Manages special projects related to the Charge Master.
  • Ensures the education of ancillary departmental personnel in the establishment and maintenance of charge codes and review the CDM policy annually to update as necessary.
  • Serves as a departmental liaison and responds to inquiries.Attends and participates in professional and departmental meetings as requested.
  • Monitor and assess potential revenue impacts resulting from regulatory issues or issues/trends identified.
  • Develops standards including policies, procedures, and tolls that promote operational efficiency and compliance.
  • Assists with external audits including insurance and patient defense audits, OIG, RAC, MAC, Medicaid, and other payers as needed.Provide charge master and charge capture support to SSCs as needed including recommendations for working with ancillary departments on charge related issue resolution.
  • Maintain strict confidentiality to ensure that privileged and/or proprietary information is adequately safeguarded against disclosure.
  • Takes ownership of assignments, special projects, pilot programs; other duties as assigned or requested. Some travel may be required.


Qualifications

Education:

  • Bachelor's degree in Business Administration or Healthcare Administration, or equivalent work experience of seven plus (7+) years’ relevant experience.

Experience:

  • Physician billing, physician charge master, DRG and ICD-10 and CPT coding knowledge.
  • Proficient in physician billing, payment, and coding structures.
  • Proficient in Microsoft Suite of applications including Excel. Ability to apply the use of formulas, Lookups, etc. necessary.
  • Be able to effectively communicate, document, and show support of all changes conducted within the CDM.

*Depending on a candidate’s qualifications, position may be filled at a different level.

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Benefits

  • Career Development

    We support growth and development for all our employees through various means and in programs designed to foster inclusion.

  • Healthcare

    Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.

  • Retirement Plan

    Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.

  • Paid Time Off

    With paid holidays and unlimited PTO, you are encouraged to take the time you need to relax and recharge with family and friends.

  • Work-Life Balance

    Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they’re allowed to be their best selves in and out of the office.

  • Miscellaneous Benefits

    Whether you’re looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.

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