JOB SUMMARY:

• Responsible for the oversight, integrity, supervision, and maintenance of the charge Description Master (CDM), Charge capture process. And billing and coding regulatory compliance for laboratory services.
• Must be knowledgeable of current coding practices and identify ways to help address preventable revenue loss.
• Advise and collaborate with compliance, audit services, IT, Financial Services, and Finance and Revenue Cycle teams to assess and solve billing, coding, and charging compliance issues.
• Act as a liaison to both internal and external labeling business partners.
• Position works in complex matrixed environment

REQUIRED SKILLS & EXPERIENCE:

• Knowledge of medical terminology and anatomy and psychology.
• Excellent interpersonal and communication, including excellent verbal and writing skills.
• Proven ability to handle multiple tasks and meet deadlines within standards.
• Adaptable and flexible with ability to adapt Drive and manage change.
• Proficient in Microsoft Windows applications, including advanced Excel knowledge.
• Demonstrated use of critical thinking skills to problem solve.
• Experience working in PeopleSoft, Epic and LIS.

REQUIRED EDUCATION:

• Bachelor’s degree in healthcare administration, business, or related field.

• Maintains a work knowledge of the. CD-10 and CPT/HCPCS coding principles and the AMS/CMS documentation guidelines.
• Works with revenue producing departments to ensure consistency with charged master and charge capture process including accurate descriptions, coding additions, deletions, pricing, revenue codes and any other changes.
• Collaborates with Finance, Revenue Recognition and Performance Service departments to perform applicable analysis to understand budget variances. Net revenue change and labor impact of proposed changes to chargemaster.
• Maintains working knowledge of revenue cycles process to aid in the implementation of regulatory standards that assist the organization in cash collection while accurately complying with billing guidelines.
• Responsible for menu code and coding assignment of all new items or services throughout Laboratory Services.
• Stays current with applicable government rules and regulations, payer changes and compliance, billing, integrity resources and information.