Chargemaster Analyst II

The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules, and related functions. This position is adept with Federal, State, CMS-OPPS, and regulatory/payer requirements and will update the chargemaster as needed. This position will train and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with testing and validation. Supports and collaborates with revenue producing departments, business office, revenue practice teams, HIM, managed care, and compliance constituents on related charge master issues to ensure compliant chargemaster that appropriate revenue optimization.

Essential Functions

• Performs Epic build and testing support related to chargemaster for community connects, EPMO projects, Enterprise and system initiatives.
• Performs annual review of chargemaster with clinical operations and revenue practice teams to ensure compliance and appropriate revenue capture.
• Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates to chargemaster and charge applications accordingly.
• Provides education and guidance to revenue cycle and clinical operations related to chargemaster.
• Trains and mentors team Chargemaster team members.
• Assists with charge testing/validation and Epic build support in various Epic environments for any related chargemaster projects/initiatives that involve changes to the chargemaster.
• Partners with the Chargemaster Service Line Partner to support EPMO projects, enterprise and system initiatives utilizing intermediate level knowledge.
• Collaborates with a multi-disciplinary team to optimize patient experience and operational success.

Skills

• Epic
• CPT Coding
• Healthcare regulations
• CMS guidelines
• Communication
• Data Analysis
• Detail-orientated
• Project Management
• Problem solving
• Collaboration

Qualifications

Required

• Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group.
• Demonstrated experience in revenue cycle and chargemaster functions.
• Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.
• Demonstrated ability to be flexible and adaptable to change.
• Demonstrated ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
• Demonstrate Intermediate level knowledge of build and maintenance of chargemaster in Epic and chargemaster related records/tables including fee schedules following pricing methodologies.
• Demonstrates effective presentation, verbal and written communication across all levels of the organization.
• Demonstrates intermediate level and knowledge of Epic build and testing support related to chargemaster for community connects, EPMO projects, Enterprise and system initiatives.
• Demonstrated experience working closely with a multi-disciplinary team to optimize patient experience and operational success.

Preferred

• Bachelor’s degree in healthcare administration, insurance, data analytics or related field from an accredited institution. Education is verified.
• Certified with Epic clinical or billing applications.

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location: Peaks Regional Office

Work City: Broomfield

Work State: Colorado

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $29.66 - $46.72

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.