The Systems Charge Analyst will support Revenue Cycle with implementing billing system updates needed to ensure revenue integrity, and maintain compliant billing. The Analyst will assist with root cause analysis for charging, coding, billing, denials related issues and work collaboratively with operations and IT to implement EPIC build fixes. Will support the Revenue Cycle Operations Department through the identification, quantification and execution of special projects identifying areas of increased net revenue opportunities related to charging. Will provide reimbursement analysis, assists with bill problem resolution, and provide coverage guidelines for billable services to reduce or prevent future claim denials. This will be accomplished by reviewing current practices as they relate to system interfacing, account audits, contractual language, and any other system or department that may impact the financial health of this institution.
Minimum Qualifications:
1. Bachelor’s degree or equivalent in Economics/Statistics, Finance, Business Management, Finance, Healthcare administration or a related field.
2. Three to five years of related health care administration/financial or revenue cycle analysis experience.
3. Experience in financial analysis, budgeting, business and process analysis, working knowledge of third party reimbursement is required.
4. Strong analytical skills and excellent communication skills required.
5. Knowledge of managed care terminologies and ability to interpret hospital bills, explanation of benefits, and medical records.
6. Strong computer and systems application skills. Strong knowledge of IT systems such i.e. Crystal Reports preferred. Experience in MS Access preferred.
7. Resolute Hospital Billing Administration, Charge Router and/or Charge Master Epic Applications Certifications, preferred
8. Knowledge of coding guidelines, both ICD-10-CM and CPT-4 is preferred.
9. Hospital Charge Master experience and/or billing or coding experience focused on the CDM is preferred.
Department: Revenue Cycle Bargaining Unit: Non Union Campus: TARRYTOWN Employment Status: Regular Full-Time Address: 555 South Broadway, Tarrytown
Shift: Day Scheduled Hours: 8 AM-4:30 PM Req ID: 220373 Salary Range/Pay Rate: $75,000.00 - $100,000.00
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
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Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
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