University of California - Irvine, CA

posted 17 days ago

Full-time - Mid Level
Irvine, CA
Educational Services

About the position

The Charge Master Analyst - Revenue Integrity at UCI Health is responsible for maintaining the Enterprise Charge Description Master (CDM) for both hospital and physician services. This role ensures compliance with charging policies and procedures while facilitating projects to enhance accurate charging practices. The analyst serves as a liaison for charge capture development and regulatory guidelines, collaborating with various stakeholders to optimize the Chargemaster processes.

Responsibilities

  • Maintain the Enterprise Charge Description Master (CDM) for hospital and physician services.
  • Ensure compliance and consistency of charging policies and procedures.
  • Facilitate projects aimed at redesigning clinical workflows for accurate charging practices.
  • Support the integration of third-party tools related to charge capture.
  • Act as the primary liaison for charge capture development and regulatory guidelines.
  • Collaborate with Clinical Care Partners, Revenue Cycle Associates, and IT Business Analysts.

Requirements

  • 3 years of experience with CDM management.
  • 3 years of experience in an academic or large healthcare system.
  • 3 years of experience as a Certified Professional Coder (CPC).
  • 3 years of chargemaster management experience.
  • Knowledge of third-party regulatory requirements including Medicare, Medicaid, Managed Care, and Commercial.
  • Excellent written and verbal communication skills in English.
  • Advanced computer knowledge and experience with Microsoft Office.
  • Ability to analyze situations, define problems, and make sound recommendations.

Nice-to-haves

  • Skill to read and interpret governmental and commercial payor regulations.
  • Knowledge of University and medical center organizations, policies, procedures, and forms.
  • Epic PB Resolute certification.

Benefits

  • Health insurance
  • Retirement plan
  • Sick and vacation time
  • Access to discounts and perks
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