Sr. Charge Management Coordinator at University of Virginia

, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jan, 26

Salary

120513.0

Posted On

29 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Charge Master Functions, Charge Maintenance, Financial Analysis, Regulatory Compliance, Medical Records Review, CPT Coding, HCPCS Coding, Billing Methodologies, Documentation Accuracy, Relationship Development, Audit Reviews, Attention to Detail, Communication Skills, Medical Terminology, Change Control, Price Establishment

Industry

Hospitals and Health Care

Description

This position will oversee all charge master functions including charge maintenance activities charge system integration establishing and updating prices and change control across the health system. Ensure appropriate charge master maintenance occurs. Oversight of External System Charge Interfaces. Maintain Grant Pricing Perform financial analysis for operational and executive use. Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services to assure CDM compliance. Develop relationships with payors to resolve issues. Maintain compliance standards for providing accurate information on all facility claims. Carries out other assignments or special projects as assigned. Responsible for ensuring all appropriate charges for complex service lines are being captured and documented in accordance with policies and procedures, and applicable regulatory standards and requirements. Completes chart audit reviews of clinical documentation to determine accuracy of charge capture. Conducts thorough review of medical records and utilizes coding expertise to ensure that clinical documentation supports all billed charges. In addition to the above job responsibilities, other duties may be assigned. MINIMUM REQUIREMENTS Education: Bachelor’s degree required or relevant experience may be considered in lieu of Bachelor's degree. Experience: A minimum of five years of experience required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required Understanding of CPT level II and III HCPCS and hospital charging methods is essential General comprehension of medical terminology is necessary. Licensure: none PHYSICAL DEMANDS Job requires sitting for prolonged periods, frequently traveling (no more than two miles); Repetitive motion: (Typing). Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull < 20lbs. May be exposed to cold, heat and outdoor climate. Position Compensation Range: $60,257.00 - $120,513.00 Annual Benefits Comprehensive Benefits Package: Medical, Dental, and Vision Insurance Paid Time Off, Long-term and Short-term Disability, Retirement Savings Health Saving Plans, and Flexible Spending Accounts Certification and education support Generous Paid Time Off UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.

Responsibilities

The Sr. Charge Management Coordinator will oversee charge master functions, ensuring appropriate maintenance and compliance with regulatory standards. This role includes financial analysis and developing relationships with payors to resolve issues.