Revenue Integrity Chargemaster

Job Requisition #: JR58522

End Date: 9/18/2021

Location: Newark, Delaware

Position Type: Professional

Shift: Day Shift, No Rotation

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ChristianaCare is searching for a Revenue Integrity Chargemaster to be responsible for leading, coordinating, and implementing complete, correct, timely and compliant charge creation. The Chargemaster will also be responsible for reviewing and interpreting Managed Care contracts, and Government fee schedules and regulations to ensure appropriate charge creation.

When you become an employee at ChristianaCare, you are joining a healthcare organization that was named Forbes 5th Best Health System to Work for in the U.S. for 2021! Guided by excellence and love, our Caregivers enjoy many employee benefits such as

Principal duties and responsibilities:

Coordinates all activities of the charge description master including but not limited to, charge creation, charge validation, charge analysis and pricing.

Reviews and assists with maintenance of chargemaster compliance reports.

Assists with other necessary projects to maintain the chargemaster file.

Manages daily work lists to resolve bill holds for charge-related issues assigned to the revenue integrity unit in the charge and discharge not billed (DNB) work lists. Conducts daily review of claims held in charge and discharged not final billed (DNFB) applications. Distributes these charge related issues to the proper department. Maintains the charge integrity contact list for distribution of charge-related issues to PFS, HIM, coding, clinic services, surgical services, and ancillary services.

Analyzes electronic data files. Coordinates findings with hospital departments to ensure missed charges are billed.

Assists with report findings from the assigned work list, erroneous or missing charge postings with follow-up analysis, and development and implementation of recommendations and actions plans to minimize late or missing charges.

Supports the remediation process within third-party vendor software issues to the extent they relate to charge capture and revenue integrity concerns.

Creates and maintains Excel files and submits quarterly reports to Clinical Department Director/Manager, Corporate Director of Revenue Cycle and Revenue Integrity Manager.

Assists in recommending action plans to reduce missed revenue opportunities. Compiles and coordinates rules with vendor to update the software used in compiling data files.

Audits revenue reports for charge accuracy and coordinating discrepancies.

Conducts monthly Charge Master Steering Committee Meetings

Conducts root-cause analyses with others to identify opportunities for error reduction.

Facilitates and manages the annual review and updates to the Charge Description Master and pricing file.

Builds strong relationships and facilitates productive communication between key stakeholders and Clinical departments. Collaborates with others to develop and implement action plans to resolve charge errors.

Researches regulatory requirements relevant to charges, monitors trends, and maintains knowledge of charge-related regulations and standards. Applies knowledge to ensure that charges are accurate, billed correctly, and supportable according to payer and regulatory requirements.

Maintain current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).

Develop and maintain tracking reports.

Articulate thoughts and ideas effectively both verbally and in writing.

Present information effectively in a variety of settings: one-on-one, small and large groups, with peers, direct reports, and superiors.

Education and experience requirements:

  • Bachelor's degree from an accredited college in a relevant field of study.
  • Equivalent and relevant combination of education and experience may be considered in lieu of Bachelor's degree.
  • Five years of revenue cycle management and/or revenue integrity experience in a healthcare environment.

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.


UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?
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We Serve Together

For the Love of Health

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