Revenue Cycle Manager Charge Capture Senior Analyst

Texas Health Resources - Arlington, TX

Full-time - Mid Level

Remote - Arlington, TX

Hospitals

About the position

Texas Health Resources is seeking a highly skilled Revenue Cycle Manager Charge Capture Senior Analyst to join our team. This position is crucial in enhancing revenue results by taking a comprehensive view of clinical and financial processes, functions, and interdependencies from patient care provision to final bill generation. The Senior Analyst will work under the general direction of the Revenue Cycle Manager Charge Capture and will be responsible for ensuring that all responsibilities are performed in accordance with established organizational policies, procedures, compliance, and quality standards. The role involves managing functions related to the build and maintenance of the Charge Description Master (CDM). This includes ensuring the accurate and timely implementation of CDM additions, deletions, and changes to minimize billing issues. The Senior Analyst will identify and analyze departmental requests for changes to the CDM and review necessary CPT/HCPCS code changes related to updates from regulatory agencies. In addition to these responsibilities, the Senior Analyst will promote and maintain effective communication and relationships with internal customers, ensuring their requirements are consistently met. The role also includes reviewing and evaluating the effectiveness of corrective action plans, compiling accurate and timely formal written reports on oversight and monitoring activity findings, and ensuring compliance with state and federal regulations, third-party payer regulations, and internal policies. The position requires mandatory attendance to webinars, classes, lectures, and internal meetings to maintain current knowledge regarding CMS reimbursement, commercial payer contracts, and changes impacting revenue, such as CPT and coding changes. The Senior Analyst may also perform other related duties, including reviewing entity emergency departments E/M calculators and accessing full ED nurse audit functionality.

Responsibilities

• Manage the build and maintenance of the Charge Description Master (CDM).
• Ensure accurate and timely implementation of CDM additions, deletions, and changes to minimize billing issues.
• Identify and analyze departmental requests for changes to the CDM.
• Review and analyze necessary CPT/HCPCS code changes related to updates from regulatory agencies.
• Promote and maintain effective communication and relationships with internal customers.
• Review and evaluate the effectiveness of corrective action plans and provide comprehensive follow-up to Senior Management.
• Compile accurate and timely formal written reports on oversight and monitoring activity findings.
• Ensure compliance with state and federal regulations, third-party payer regulations, and internal policies.
• Attend webinars, classes, lectures, and internal meetings to maintain current knowledge regarding CMS reimbursement and commercial payer contracts.
• Perform other related duties incidental to the work described.

Requirements

• H.S. Diploma or Equivalent (Required) and Bachelor's Degree in Business Administration or Healthcare Finance or 4 years relevant experience in lieu of degree (Required).
• 4 years of experience in healthcare finance, revenue cycle management, practice operations management, or decision support/database management is required with a degree, or 8 years without a degree (Required).
• Certification as a CPC - Certified Professional Coder (Required).
• Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums, and understanding payer reimbursement methodologies (Commercial and Government).
• Impressive organizational skills and ability to effectively communicate analysis of trends to various levels of stakeholders.
• Proficiency with Microsoft Office Suite including Outlook, PowerPoint, Excel, and Word.
• Critical thinking skills and proficiency in deciphering information contained in electronic health records such as EPIC.

Nice-to-haves

• Familiarity with ICD 10.
• Experience with CMS claims data.
• Interpretation of contracts.

Benefits

• 401k
• PTO
• Medical insurance
• Dental insurance
• Paid Parental Leave
• Flexible spending account
• Tuition reimbursement
• Student Loan Repayment Program
• Opportunities for advancement
• Work-life balance
• Flexible hours/scheduling after training.