CHARGEMASTER COORDINATOR

Medical Charge Master Coordinator needed to work in the Farmingdale/Melville area. Ideal candidates will have experience working with EPIC, Craneware Bill Analyzer, Hospital and Physician billing experience and Outpatient Medicare and Medicaid coding and billing regulations.

Essential Duties and Responsibilities:

• Scope of activities include accurate establishment of clinical charge capture, researching and resolving charge system problems and analysis of current systems for purposes of identifying system improvements. Documents system performance, to ensure accuracy, compliance, and to improve revenue.
• Perform audits to evaluate if all charges are being captured appropriately.
• Performs maintenance of the EAP and Fee Schedule, MPI, JBF, crosswalk master files, panels and driver files, preference list and other.
• Ensures that all chargemaster additions, deletions, and modifications are appropriately communicated to the departments, builders, trainers and related ancillary systems.
• Assist on maintenance of historic CDM (JBF nat acct), EPIC, CDM next number (JBF separate) Optime CDM, Panel Drivers, other files.
• Serves as a communication link between staff, physicians, charge nurse, business office, revenue cycle director, and other reimbursement specialists in discussing issues, recommendations, solutions and answering questions related to charges and charge master.
• Generates the report of the most recent EAP master charges and fee schedule and uploads/imports text data in EPIC when necessary.
• Works with the application teams to build all charges, charge capture methods, charge review, reconciliation reports and work queues for all workflows.
• Resolves errors identified through EPIC work queues. Procedure is documentation, charge capture professional/technical, CPT code, procedure (EAP) master file, charge linked, orders, interface, fee schedule, system build, charge router rules, charge trigger, cost assignment, etc.
• Performs analysis utilizing Craneware Bill Analyzer.
• Review bulletins and publications for coding and billing updates to communicate with affected departments and sustain understanding of the regulatory requirements.
• Responsible for resolving any coding related errors and denials that are identified by the Hospital's billing system as a part of the revenue by designated work queues.
• Performs other incidental and related duties as required and assigned.

Education and Work Experience:

• Bachelor's or Associate Degree in healthcare related field.

Skills and Knowledge:

• Outpatient Medicare and Medicaid coding and billing regulations.
• All components of the chargemaster including but not limited to CPT, HCPCS, modifier, revenue codes and CDM descriptions to assure compliance and regulatory requirements.
• Hospital or Physician coding and Billing experience.
• Proficient in using Microsoft applications including Excel and Word.
• Hospital charging systems and charge capture process.
• Good organizational and communication skills.