Charge Master Coding Analyst
About the role
Uses clinical knowledge and experience to compare the medical records documentation to the individual items billed. Analyzes departments charging patterns and identifies coding and billing issues. Reviews and updates preference lists and ensures their accuracy. Provides a summary of any yearly coding changes that could impact each department. Coordinates and reports audit outcomes regarding charge errors, data processing errors, and the performance of hospital charging system. Schedules annual visits with Regions areas to address any chargemaster issues.
Works directly with clinical areas regarding missing or misdirected charges and acts as a resource to assist with charging and coding issues that occur. Uses own initiative to organize work and set priorities to meet deadlines and complete assignments. Offers guidance to team members by assisting with workflow management and questions. Works closely with medical records, nursing departments, finance and patient accounting.
- Audits charge master details for individual departments; spot check coding compliance, revenue capture review, troubleshoots problem codes.
- Special projects to improve revenue cycle outcomes.
- Assists the chargemaster manager with training, coding and billing research and special projects.
- Performs other duties as assigned.
Requirements
- Degree in HIM, Business Administration or any Medically related field and/or Certified Professional Coder (CPC).
- 5 years minimum hospital experience.
- 3 years’ experience in coding, billing, and/or patient accounting.
- Coding certification, such as CPC (Certified Professional Coder), or Health Information Management Certification such as RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator).
Skills
- Knowledge of medical terminology.
- Knowledge of coding guidelines.
- Investigative ability.
- Ability to relate to many levels, such as patients, nurse auditors, and employees throughout all hospital departments.
- Excellent communication and organizational skills.
- Ability to work independently, prioritize tasks and problem-solve.
About Us
At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Benefits
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including:
- Health benefits.
- Time off.
- Retirement planning.
- Continuous learning opportunities.
Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.