Chargemaster Coordinator | Revenue Integrity

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real content. The posting includes Overview (which is about the role), Responsibilities, Qualifications (including Required Education, Preferred Education, Minimum Qualification, Required Licensure/Certifications). There's no explicit Benefits, Pay, Schedule. So we should not include those sections. Also we need to avoid repeating job title as heading. Use

for each section heading. We need to preserve all substantive information, no boilerplate. Remove cookie/navigation etc. The text includes "Overview" then responsibilities list etc. We'll create sections: About the role (from Overview), Responsibilities, Qualifications (maybe combine Education, Preferred Education, Minimum Qualification, Required Licensure/Certifications). Could also have Skills as separate if content present. The qualifications section includes skills like familiarity with IS mapping, extensive background in CPT/HCPCS coding, ability to read/interpret regulations, proficiency in Excel/Word, ability to work independently, considered a resource. Those could go under Skills. But the instruction says prefer few substantive sections over many thin ones. We could combine Qualifications and Skills into one Qualifications section, but we have headings defined: Qualifications, Skills. We could put education/licensure under Qualifications, and skills under Skills. That seems appropriate. We need to use

• for any list of duties/requirements/benefits. So responsibilities list should be
  • . Also qualifications list maybe as
    • . Skills list as
      • . Ensure we preserve all details. We need to preserve percentages? The responsibilities have percentages in parentheses. We should keep them as part of the li text. We need to avoid repeating headings like "Responsibilities:" inside the li? The heading is

        Responsibilities

        . Then we can start a
        with li items. The original text includes "Responsibilities Responsibilities:" but we should not duplicate. We'll just use the content after that. Let's extract content. Overview paragraph: "Overview Responsible for managing and maintaining the hospital chargemaster to insure consistency and accuracy in claims processing and data collection. Read, interpret and distribute payer coding and reimbursement information to all departments affected to ensure regulatory compliance. Establishes and maintains appropriate internal and external working relationships, and represents the hospital in a professional manner." We'll put that as

        under About the role. Responsibilities: The list after "Responsibilities Responsibilities:" includes multiple bullet-like sentences separated by periods and some have percentages. We need to split into list items. Let's parse: - To validate CPT and HCPCS Level 11 code and modifier assignments, APC grouping appropriateness, missed procedures and insure compliance with all APC mandates and outpatient reporting requirements. (30%) - Coordinate quarterly (or as needed) chargemaster review of pricing versus fee schedule or APC payment. Coordinate the annual updating of CPT codes. (30%) - Monitors outpatient procedures and ancillary APCs assigned in the facility to Medicare assigned APC groups. Evaluate any reimbursement change and take appropriate steps in collaboration with the right department to effect resolution of the variance. (10%) - Monitors compliance with department, hospital and administrative directives. Develops reports and collects and prepares data for studies involving outpatient financial impact and profitability. (10%) - Attends outpatient coding and reimbursement workshops as approved by manager and brings back information to the appropriate departments. Communicates all APC updates published in third-party payer newsletters/bulletins and provider manuals to all relevant staff. Ensure that everyone has the necessary resources, i.e.: CPT/HCPCS level 11 manuals, fee schedules to evaluate their department chargemaster. Keep abreast of new technology in chargemaster analysis and other future issues impacting the chargemaster function. (10%) - Coordinates regular periodic APC/Chargemaster meetings to inform staff of changes in policies and to provide in-service training. Establishes controls and review mechanisms to ensure that system changes and procedures are being followed correctly. Provides and/or arranges for training of department Directors and/or their designee in use of coding within the chargemaster to insure compliance. (10%) - Responsible for reports, studies, analyses or projects as requested by the Revenue Integrity Manager and/or Associate Administrator/CFO. (10%) - Assist the billing office and the coding department with resolving issues or denials that are chargemaster related. Research billing, coding and pricing requirements when new procedures and or products are introduced. (10%) - Insures compliance with all Federal, State and local regulations. Works closely with Ancillary Departments with the monitoring of their department chargemasters to insure accurate coding of procedures. (10%) We need to keep percentages maybe as part of the li. Now Qualifications: Contains Required Education, Preferred Education, Minimum Qualification: Necessary Skills (but we might treat that as Skills). Actually the text: "Qualifications Required Education High School Diploma or GED Preferred Education bachelor's degree in business administration or healthcare administration. Minimum Qualification: Necessary Skills Must be familiar with Information Systems mapping to insure appropriate codes map to chargemaster to bill. Must have an extensive background in CPT and HCPCS coding, third party billing and reimbursement. Must be able to read, interpret, apply and distribute to appropriate personnel, regulations and information obtained from various State and Federal sources. Must be able to explain to appropriate personnel how their chargemasters translate into codes that translate into reimbursement. Must be proficient in EXCEL spreadsheets and WORD processing applications. Must be able to work independently and use good judgment when making decisions/recommendations regarding changes/additions and/or corrections to the chargemaster. Must be considered a resource to all departments regarding charge items/services/procedures. Required Licensure/Certifications Licensed to practice nursing or practical nursing in the state of Florida OR Coding Certification" We need to separate Education (Required, Preferred) under Qualifications heading. Then Skills heading for the list of skills. Then Licensure/Certifications maybe also under Qualifications or separate? There's no heading for Licensure/Certifications but we could include under Qualifications as another list. But we have only headings: Qualifications, Skills. We could put Education and Licensure under Qualifications as

        • . And Skills under Skills. Let's extract Education items: - Required Education: High School Diploma or GED - Preferred Education: bachelor's degree in business administration or healthcare administration Licensure/Certifications: - Licensed to practice nursing or practical nursing in the state of OR Coding Certification (actually "Licensed to practice nursing or practical nursing in the state of Florida OR Coding Certification") We'll list those. Skills items (from Minimum Qualification: Necessary Skills): - Must be familiar with Information Systems mapping to insure appropriate codes map to chargemaster to bill. - Must have an extensive background in CPT and HCPCS coding, third party billing and reimbursement. - Must be able to read, interpret, apply and distribute to appropriate personnel, regulations and information obtained from various State and Federal sources. - Must be able to explain to appropriate personnel how their chargemasters translate into codes that translate into reimbursement. - Must be proficient in EXCEL spreadsheets and WORD processing applications. - Must be able to work independently and use good judgment when making decisions/recommendations regarding changes/additions and/or corrections to the chargemaster. - Must be considered a resource to all departments regarding charge items/services/procedures. We'll output as
          • . Now ensure we don't include boilerplate like "EEO", etc. There's none. Now produce HTML fragment:

            About the role

            Responsible for managing and maintaining the hospital chargemaster to insure consistency and accuracy in claims processing and data collection. Read, interpret and distribute payer coding and reimbursement information to all departments affected to ensure regulatory compliance. Establishes and maintains appropriate internal and external working relationships, and represents the hospital in a professional manner.

            Responsibilities

            • To validate CPT and HCPCS Level 11 code and modifier assignments, APC grouping appropriateness, missed procedures and insure compliance with all APC mandates and outpatient reporting requirements. (30%)
            • Coordinate quarterly (or as needed) chargemaster review of pricing versus fee schedule or APC payment. Coordinate the annual updating of CPT codes. (30%)
            • Monitors outpatient procedures and ancillary APCs assigned in the facility to Medicare assigned APC groups. Evaluate any reimbursement change and take appropriate steps in collaboration with the right department to effect resolution of the variance. (10%)
            • Monitors compliance with department, hospital and administrative directives. Develops reports and collects and prepares data for studies involving outpatient financial impact and profitability. (10%)
            • Attends outpatient coding and reimbursement workshops as approved by manager and brings back information to the appropriate departments. Communicates all APC updates published in third-party payer newsletters/bulletins and provider manuals to all relevant staff. Ensure that everyone has the necessary resources, i.e.: CPT/HCPCS level 11 manuals, fee schedules to evaluate their department chargemaster. Keep abreast of new technology in chargemaster analysis and other future issues impacting the chargemaster function. (10%)
            • Coordinates regular periodic APC/Chargemaster meetings to inform staff of changes in policies and to provide in-service training. Establishes controls and review mechanisms to ensure that system changes and procedures are being followed correctly. Provides and/or arranges for training of department Directors and/or their designee in use of coding within the chargemaster to insure compliance. (10%)
            • Responsible for reports, studies, analyses or projects as requested by the Revenue Integrity Manager and/or Associate Administrator/CFO. (10%)
            • Assist the billing office and the coding department with resolving issues or denials that are chargemaster related. Research billing, coding and pricing requirements when new procedures and or products are introduced. (10%)
            • Insures compliance with all Federal, State and local regulations. Works closely with Ancillary Departments with the monitoring of their department chargemasters to insure accurate coding of procedures. (10%)

            Qualifications

            • Required Education: High School Diploma or GED
            • Preferred Education: Bachelor's degree in business administration or healthcare administration
            • Licensure/Certifications: Licensed to practice nursing or practical nursing in the state of Florida OR Coding Certification

            Skills

            • Must be familiar with Information Systems mapping to insure appropriate codes map to chargemaster to bill.
            • Must have an extensive background in CPT and HCPCS coding, third party billing and reimbursement.
            • Must be able to read, interpret, apply and distribute to appropriate personnel, regulations and information obtained from various State and Federal sources.
            • Must be able to explain to appropriate personnel how their chargemasters translate into codes that translate into reimbursement.
            • Must be proficient in EXCEL spreadsheets and WORD processing applications.
            • Must be able to work independently and use good judgment when making decisions/recommendations regarding changes/additions and/or corrections to the chargemaster.
            • Must be considered a resource to all departments regarding charge items/services/procedures.
            Check for any missing content: The overview included "Read, interpret and distribute payer coding and reimbursement information to all departments affected to ensure regulatory compliance." Already included. Good. We didn't include any Benefits, Pay, Schedule sections as none present. We need to ensure we didn't repeat job title. Not present. We need to ensure we didn't include any filler like "commensurate with experience". Not present. Now output only HTML fragment