REQUIREMENTS

Education:

• High School diploma equivalency with 2 years of cumulative experience OR Associate’sdegree/Bachelor’s degree OR 4 years of applicable cumulative job specific experience required.

Review, analyze and coordinate charge master activities.

• Utilize clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies.
• Collaborate with managed care department to code billable items for reimbursement. Collaborate with appropriate staff to secure information for billable items.
• Analyze content of reports and software edits to facilitate revisions with appropriate departments.
• Coordinate projects and audit to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
• Educate case management staff and other departments regarding payer changes and denial/appeal process.