DescriptionBecome part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary :Assists the Charge Master Coordinator in the maintenance of the CDM.Responsibilities :
Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.
Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.
Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.
Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.
Other InformationEducation Requirements:● Bachelor’s degree in an appropriate discipline (or equivalent combination of education, training and experience).Professional Experience Requirements:● If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.● If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.● If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.Job DetailsLegal Employer: STATEEntity: Shared ServicesOrganization Unit: HIM Revenue IntegrityWork Type: Full TimeStandard Hours Per Week: 40.00Salary Range: $20.88 - $30.02 per hour (Hiring Range)Pay offers are determined by experience and internal equityWork Assignment Type: RemoteWork Schedule: Day JobLocation of Job: US:NC:Chapel HillExempt From Overtime: Exempt: YesThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.