Chargemaster Cooordinator - 874
Company Name:
Mercy Health System - WI
JOB SUMMARY
Under the supervision of the Director of Finance, formulates and maintains Mercy Health System's chargemaster in order to optimize revenue generation, maintain compliance with government and third party payer requirements, and generation of management reports.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Coordinates, monitors and verifies all changes made to the Chargemaster.
Reviews and studies all information from third party payers relative to claims filing, coding, and the adjudication process.
Studies, reports and makes recommendations relative to compliance concerns.
Develops and applies various charge development algorithms.
Works with various departments in maintaining and review special portions of the Chargemaster.
Meets and works with personnel involved in setting up or reengineering departments, service areas or service lines relative to development and/or changes to the Chargemaster.
Works with personnel involved in the service-documentation-charge claims- reimbursement cycle relative to Chargemaster interfaces and optimization of the process.
Attends workshops and seminars to maintain a high level of knowledge and capabilities.
Recommends and coordinates the use of consultants for specialized activities relative to the Chargemaster and related areas.
Works with coding personnel to ensure that the codes on the Chargemaster are accurate and current.
Works with information system personnel to make certain the Chargemaster information is accurately placed on claim forms.
Monitors reimbursement problem areas and works with staff to resolve problems and optimize reimbursement and/or profitability.
Manages special projects relative to the Chargemaster such as the merging of Chargemasters and/or special development of Chargemasters for newly acquired service providers.
Generates reports and performs analysis as assigned
Performs other duties as assigned
COMPETENCIES
To perform the job successfully, an individual should demonstrate the following competencies:
Quality - Follows policies and procedures. Adapts to changes in the environment; Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance.
Service - Responds promptly to requests for service and assistance; Meets commitments; Abides by MHS confidentiality and security agreement; Shows respect and sensitivity for cultural differences.
Partnering - Supports organization''s goal and values; Exhibits objectivity and openness to other''s views; Work with Mercy and MercyCare Directors to provide the best possible experience to senior customer. Gives and welcomes feedback.; Contributes to building a positive team spirit; Generates suggestions for improving work.
Cost - Conserves organization resources.
Problem Solving - Demonstrates the ability to work with challenging situations to promote Mercy and MercyCare. Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Project Management - Develops project plans; Coordinates projects; Completes projects on time.
Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others'' ideas and tries new things.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings; Demonstrates group presentation skills.
Written Communication - Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information; Can prepare clearly written procedures for others.
Ethics - Treats people with respect; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures; Supports organization''s goals and values. Supports affirmative action and respects diversity.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Takes initiative to maintain and enhance technical and interpersonal skills.
Dependability - Follows instructions, responds to management direction; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
Innovation - Displays original thinking and creativity; Generates suggestions for improving work; Presents ideas and information in a manner that gets others'' attention.
EDUCATION, TRAINING, & EXPERIENCE
Bachelor Degree in Healthcare Administration or Business Administration
Minimum five years progressive experience in financial management, information systems and/or health information management is required.
Certifications provided by the AAPC, HFMA, AHIMA,
Epic certified in Resolute billing, charge capture, and CDM beneficial
OTHER SKILLS AND ABILITIES
An overall understanding of financial management and reporting in health care. Knowledge of various coding systems used in health care and of functions and activities of hospitals and clinics. Understanding of compliance issues and their importance and consequences. Detailed knowledge of various payment systems.
Ability and skill to influence personnel and build consensus. Ability to develop and lead teams toward stated objectives and goals. Ability to effectively work with and coordinate the activities of outside consultants. . Skill in networking both directly through colleagues and professional organizations along with the ability to utilize networking capabilities through Internet news groups and list servers.
Skill in using personal computers for financial analysis, data base development and report generation. Knowledge of hospital financial computer systems, the A/R system and the Chargemaster role within such systems. Knowledge of reference resources for information relevant to Chargemasters. Skill in performing research with data bases and Internet access to associated information resources
WORK ENVIRONMENT
The noise level in the work environment is usually quiet.
INFORMATION ACCESS
Partner may access financial, as well as patient care information needed to perform their job duties.
WORK CONTACT GROUP
Outside auditors, executive management, outside regulators, consultants, lawyers, professional and non-professional accounting staff, and various hospital and clinic leadership and personnel
SPECIAL PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required to sit; use hands to operate a keyboard repetitively, talk, and hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus, particularly as it relates to computer screens.
LEVEL OF SUPV/SUPERVISES
No supervision responsibility.
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to understand procedure manuals. Ability to write reports and correspondence. Ability to speak effectively before groups of customers or employees of organizations.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should be familiar with automated accounting/account receivable systems and be proficient in Excel and Access. Knowledge of word processing software and PowerPoint is helpful. Requires extensive knowledge of the types of programs used in healthcare and the ability to learn new software.Estimated Salary: $20 to $28 per hour based on qualifications.
Mercy Health System - WI
JOB SUMMARY
Under the supervision of the Director of Finance, formulates and maintains Mercy Health System's chargemaster in order to optimize revenue generation, maintain compliance with government and third party payer requirements, and generation of management reports.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Coordinates, monitors and verifies all changes made to the Chargemaster.
Reviews and studies all information from third party payers relative to claims filing, coding, and the adjudication process.
Studies, reports and makes recommendations relative to compliance concerns.
Develops and applies various charge development algorithms.
Works with various departments in maintaining and review special portions of the Chargemaster.
Meets and works with personnel involved in setting up or reengineering departments, service areas or service lines relative to development and/or changes to the Chargemaster.
Works with personnel involved in the service-documentation-charge claims- reimbursement cycle relative to Chargemaster interfaces and optimization of the process.
Attends workshops and seminars to maintain a high level of knowledge and capabilities.
Recommends and coordinates the use of consultants for specialized activities relative to the Chargemaster and related areas.
Works with coding personnel to ensure that the codes on the Chargemaster are accurate and current.
Works with information system personnel to make certain the Chargemaster information is accurately placed on claim forms.
Monitors reimbursement problem areas and works with staff to resolve problems and optimize reimbursement and/or profitability.
Manages special projects relative to the Chargemaster such as the merging of Chargemasters and/or special development of Chargemasters for newly acquired service providers.
Generates reports and performs analysis as assigned
Performs other duties as assigned
COMPETENCIES
To perform the job successfully, an individual should demonstrate the following competencies:
Quality - Follows policies and procedures. Adapts to changes in the environment; Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance.
Service - Responds promptly to requests for service and assistance; Meets commitments; Abides by MHS confidentiality and security agreement; Shows respect and sensitivity for cultural differences.
Partnering - Supports organization''s goal and values; Exhibits objectivity and openness to other''s views; Work with Mercy and MercyCare Directors to provide the best possible experience to senior customer. Gives and welcomes feedback.; Contributes to building a positive team spirit; Generates suggestions for improving work.
Cost - Conserves organization resources.
Problem Solving - Demonstrates the ability to work with challenging situations to promote Mercy and MercyCare. Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Project Management - Develops project plans; Coordinates projects; Completes projects on time.
Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others'' ideas and tries new things.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings; Demonstrates group presentation skills.
Written Communication - Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information; Can prepare clearly written procedures for others.
Ethics - Treats people with respect; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures; Supports organization''s goals and values. Supports affirmative action and respects diversity.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Takes initiative to maintain and enhance technical and interpersonal skills.
Dependability - Follows instructions, responds to management direction; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
Innovation - Displays original thinking and creativity; Generates suggestions for improving work; Presents ideas and information in a manner that gets others'' attention.
EDUCATION, TRAINING, & EXPERIENCE
Bachelor Degree in Healthcare Administration or Business Administration
Minimum five years progressive experience in financial management, information systems and/or health information management is required.
Certifications provided by the AAPC, HFMA, AHIMA,
Epic certified in Resolute billing, charge capture, and CDM beneficial
OTHER SKILLS AND ABILITIES
An overall understanding of financial management and reporting in health care. Knowledge of various coding systems used in health care and of functions and activities of hospitals and clinics. Understanding of compliance issues and their importance and consequences. Detailed knowledge of various payment systems.
Ability and skill to influence personnel and build consensus. Ability to develop and lead teams toward stated objectives and goals. Ability to effectively work with and coordinate the activities of outside consultants. . Skill in networking both directly through colleagues and professional organizations along with the ability to utilize networking capabilities through Internet news groups and list servers.
Skill in using personal computers for financial analysis, data base development and report generation. Knowledge of hospital financial computer systems, the A/R system and the Chargemaster role within such systems. Knowledge of reference resources for information relevant to Chargemasters. Skill in performing research with data bases and Internet access to associated information resources
WORK ENVIRONMENT
The noise level in the work environment is usually quiet.
INFORMATION ACCESS
Partner may access financial, as well as patient care information needed to perform their job duties.
WORK CONTACT GROUP
Outside auditors, executive management, outside regulators, consultants, lawyers, professional and non-professional accounting staff, and various hospital and clinic leadership and personnel
SPECIAL PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required to sit; use hands to operate a keyboard repetitively, talk, and hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus, particularly as it relates to computer screens.
LEVEL OF SUPV/SUPERVISES
No supervision responsibility.
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to understand procedure manuals. Ability to write reports and correspondence. Ability to speak effectively before groups of customers or employees of organizations.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should be familiar with automated accounting/account receivable systems and be proficient in Excel and Access. Knowledge of word processing software and PowerPoint is helpful. Requires extensive knowledge of the types of programs used in healthcare and the ability to learn new software.Estimated Salary: $20 to $28 per hour based on qualifications.
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