What are the responsibilities and job description for the Chargemaster Manager position at St. Charles Health System?
: Responsible for oversight and management of the daily operations of chargemaster and revenue integrity operations teams. This position should have advance knowledge of managing hospital chargemaster and clinic fee schedules along with advanced knowledge of general coding and NCCI edits. This role will help identify and implement opportunities in the chargemaster to improve charge capture, charge capture methodologies, or improve charge capture processes. Maintains compliance with the Pricing Transparency regulation by leading and managing the work necessary to meet these requirements. This position plays a key role in the health systems charging and overall financial integrity.
This position directly manages revenue integrity caregivers.
Essential Functions And Duties
Maintains daily oversight of CDM functions including charge builds, pricing and implementation for use.
Works with Revenue Cycle, clinical, and other operational leaders across the health system to ensure clinical documentation management supports charge capture of services rendered as per applicable coding, charging, and billing guidelines.
Maintains and revises policies and procedures related to chargemaster and charge capture functions to ensure alignment with regulatory requirements and industry standards.
Provides direction and support to revenue integrity analysts in maintaining workflows, decentralized work queues, and CCI edits owned and managed by revenue integrity.
Provides reports to leadership on key metrics that support departmental and organizational initiatives.
Responsible for responding and coordinating any internal or external chargemaster audit requests.
Develops and manages the annual work plan for chargemaster and revenue integrity analysts.
Leads and manages annual pricing updates for St Charles and connect partners.
Responsible for managing and collaborating with necessary departments on pricing transparency to ensure compliance with regulatory requirements and any applicable changes over time.
Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control.
Hires, directs, coaches and monitors the performance of all direct reports, to develop and maintain a high performance team that meets organizational and department goals.
Monitors and ensures all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.
Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate.
Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Lean principles, concepts and tools.
Supports the vision, mission, and values of the organization in all respects.
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: Associates degree or combination of education and experience to perform the full scope of the role.
Preferred: Bachelors Degree in Healthcare related field.
Licensure/Certification/Registration
Required: One of the following: RHIT/RHIA, CPMA, CPC, CRCR, CHRI or clinical licensure. Epic certification or ability to obtain within 6 mo. of hire.
Preferred: Combination of clinical licensure and applicable coding or revenue integrity certification.
Experience
Required: 3 years chargemaster experience, 1-year prior leadership experience.
Preferred: 2-4 years chargemaster manager experience within a health system. Epic clinical documentation management experience.
This position directly manages revenue integrity caregivers.
Essential Functions And Duties
Maintains daily oversight of CDM functions including charge builds, pricing and implementation for use.
Works with Revenue Cycle, clinical, and other operational leaders across the health system to ensure clinical documentation management supports charge capture of services rendered as per applicable coding, charging, and billing guidelines.
Maintains and revises policies and procedures related to chargemaster and charge capture functions to ensure alignment with regulatory requirements and industry standards.
Provides direction and support to revenue integrity analysts in maintaining workflows, decentralized work queues, and CCI edits owned and managed by revenue integrity.
Provides reports to leadership on key metrics that support departmental and organizational initiatives.
Responsible for responding and coordinating any internal or external chargemaster audit requests.
Develops and manages the annual work plan for chargemaster and revenue integrity analysts.
Leads and manages annual pricing updates for St Charles and connect partners.
Responsible for managing and collaborating with necessary departments on pricing transparency to ensure compliance with regulatory requirements and any applicable changes over time.
Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control.
Hires, directs, coaches and monitors the performance of all direct reports, to develop and maintain a high performance team that meets organizational and department goals.
Monitors and ensures all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.
Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate.
Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Lean principles, concepts and tools.
Supports the vision, mission, and values of the organization in all respects.
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: Associates degree or combination of education and experience to perform the full scope of the role.
Preferred: Bachelors Degree in Healthcare related field.
Licensure/Certification/Registration
Required: One of the following: RHIT/RHIA, CPMA, CPC, CRCR, CHRI or clinical licensure. Epic certification or ability to obtain within 6 mo. of hire.
Preferred: Combination of clinical licensure and applicable coding or revenue integrity certification.
Experience
Required: 3 years chargemaster experience, 1-year prior leadership experience.
Preferred: 2-4 years chargemaster manager experience within a health system. Epic clinical documentation management experience.
Manager
Subway - 32212-0 -
Ooltewah, TN
Manager
Dunkin' -
Rome, GA
Manager
Subway - Independently Owned and Operated -
Morrison, TN
