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Revenue Cycle Charge Master Analyst

Location: Buffalo, NY, United States

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Job Description

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours:
8:00AM-4:00PM

Summary:

The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within the acute care site of Mercy Hospital of Buffalo, Sisters of Charity Hospital including the St. Joseph Campus, Kenmore Mercy Hospital, and Mount St. Mary's Hospital. Combined this consolidated base has approximately 1065 beds, over 55,400 annual inpatient visits, over 1.346 million outpatient visits and over 163,000 emergency room visits. In addition, Catholic Health also provides professional billing for approximately 350+ physicians and various mid-levels. This is an aspect of our organization that will continue to grow as we look to healthcare reform and the continued alignment of physicians with the healthcare system. This consolidation makes up approximately 90% of total Catholic Health Net Revenue in excess of approximately $1 billion annually. Under the direction of the Director, Revenue Capture and Charge Master, the Revenue Cycle Charge Description Master (CDM) Analyst will assist in the support of the revenue cycle including the maintenance of the charge description masters (CDMs) across Catholic Health. Responsibilities will include: 1) Updating and revising the charge master to ensure all federal, state and local payer requirements are incorporated into the CDM 2) Communication with and education of the clinical areas as it relates to the revenue cycle, the CDM, the charge capture process and charge reconciliation 3) Assist in the implementation of revenue cycle operational improvements in response to problems and denials 4) Work closely with the Director, Revenue Capture and Charge Master to monitor, audit and measure the effectiveness of the revenue cycle process including charge capture and reconciliation procedures and 5) Assist in the analysis and operational set-up associated with new tech and clinical trials.

Responsibilities:

EDUCATION
  • Associates Degree in finance or healthcare related field required
  • Bachelor's degree preferred
  • Finance, patient accounting or HIM background strongly preferred

EXPERIENCE
  • Minimum of five (5) years of experience in coding, billing and/or reimbursement associated with all aspects of the revenue cycle
  • Proven experience with process analysis and improvement

KNOWLEDGE, SKILL AND ABILITY
  • Proficiency in Microsoft Excel and other Microsoft Office applications
  • Strong written and verbal communication skills required
  • Strong background in coding, third party reimbursement, spreadsheet analysis, computer usage and system development
  • Strong revenue cycle knowledge base
  • Basic understanding of clinical concepts and services
  • Ability to multi task in a demanding environment

WORKING CONDITIONS
  • Office Environment

  • Some local travel is required
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