Job Title : Charge Description Master Analyst, FT, Days, - Remote
Location : Remote in Greenville, SC 29615
Company : Prisma Health
Salary :
Open Date : 2023-01-16
Close Date : 2023-05-16

Inspire health. Serve with compassion. Be the difference.

Job Summary

The Charge Description Master Analyst for the Revenue Integrity Department is responsible for creating, maintaining, and auditing the Charge Description Master for the Greenville Health System. This employee will also be responsible for the implementation of the annual price increase.

Accountabilities

• Coordinates the submission of CDM requests with the Department Managers and/or System Department Delegates.

10%

• Verifies and confirms all CDM requests are complete and accurate, including but not limited to costing information,

revenue and procedural coding, markup calculation and approval signatures. 15%

• Processes all additions, deletions, and changes within the CDM. 15%

• Acts as a liaison between Revenue Cycle and the Business Managers for billing discrepancies. 10%

• Delivers Annual Price Increase including: calculates Room and Board price increase impact, assists with the

calculation of the ancillary price increase, coordinates implementation of price increase with Financial Planning, and

notifies third party payers of price increase. 10%

• Performs routine random audits of the price file procedures to ensure appropriateness and accuracy of charging

information. This includes consistency between Epic and ancillary software, market analysis, and cost evaluation.

5%

• Works with Revenue Integrity, clinical departments, and Information Services to ensure mechanisms are in place for

charge entry and charge capture of provided services. 15%

• Participates in system conversions, implementations and upgrades, providing coding and reimbursement review of

all proposed build, completing assigned tasks in a timely manner. 5%

• Investigates new revenue opportunities due to coding changes or through creation of new service lines. 5%

• Monitors external regulatory sources for changes related to the CDM and Fee Schedule. 5%

• Reviews quarterly and yearly updates to CPT and HCPCS coding and ensures process modifications or system

enhancements are implemented for affected departments and services. 5%

Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education

High School diploma or equivalent or Post-High school diploma

Minimum Experience

5 years - Healthcare experience in admission/registration, patient accounts, insurance or related audit experience

Other Required Experience

Hospital coding and procedural coding certification - Preferred

Work Shift

Day (United States of America)

Location

Patewood Outpt Ctr/Med Offices

Facility

7001 Corporate

Department

70019091 Revenue Integrity

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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