ChristianaCare is searching for a Revenue Integrity Chargemaster to be responsible for leading, coordinating, and implementing complete, correct, timely and compliant charge creation. The Chargemaster will also be responsible for reviewing and interpreting Managed Care contracts, and Government fee schedules and regulations to ensure appropriate charge creation.
When you become an employee at ChristianaCare, you are joining a healthcare organization that was named Forbes 5th Best Health System to Work for in the U.S. for 2021! Guided by excellence and love, our Caregivers enjoy many employee benefits such as
Coordinates all activities of the charge description master including but not limited to, charge creation, charge validation, charge analysis and pricing.
Reviews and assists with maintenance of chargemaster compliance reports.
Assists with other necessary projects to maintain the chargemaster file.
Manages daily work lists to resolve bill holds for charge-related issues assigned to the revenue integrity unit in the charge and discharge not billed (DNB) work lists. Conducts daily review of claims held in charge and discharged not final billed (DNFB) applications. Distributes these charge related issues to the proper department. Maintains the charge integrity contact list for distribution of charge-related issues to PFS, HIM, coding, clinic services, surgical services, and ancillary services.
Analyzes electronic data files. Coordinates findings with hospital departments to ensure missed charges are billed.
Assists with report findings from the assigned work list, erroneous or missing charge postings with follow-up analysis, and development and implementation of recommendations and actions plans to minimize late or missing charges.
Supports the remediation process within third-party vendor software issues to the extent they relate to charge capture and revenue integrity concerns.
Creates and maintains Excel files and submits quarterly reports to Clinical Department Director/Manager, Corporate Director of Revenue Cycle and Revenue Integrity Manager.
Assists in recommending action plans to reduce missed revenue opportunities. Compiles and coordinates rules with vendor to update the software used in compiling data files.
Audits revenue reports for charge accuracy and coordinating discrepancies.
Conducts root-cause analyses with others to identify opportunities for error reduction.
Facilitates and manages the annual review and updates to the Charge Description Master and pricing file.
Builds strong relationships and facilitates productive communication between key stakeholders and Clinical departments. Collaborates with others to develop and implement action plans to resolve charge errors.
Researches regulatory requirements relevant to charges, monitors trends, and maintains knowledge of charge-related regulations and standards. Applies knowledge to ensure that charges are accurate, billed correctly, and supportable according to payer and regulatory requirements.
Maintain current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
Develop and maintain tracking reports.
Articulate thoughts and ideas effectively both verbally and in writing.
Present information effectively in a variety of settings: one-on-one, small and large groups, with peers, direct reports, and superiors.
Education and experience requirements:
Bachelor's degree from an accredited college in a relevant field of study.
Equivalent and relevant combination of education and experience may be considered in lieu of Bachelor's degree.
Five years of revenue cycle management and/or revenue integrity experience in a healthcare environment.
EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.