Job Description Reimbursement (Supply) -Chargemaster Analyst Hybrid 150 East 42nd Stret The Reimbursement and Chargemaster Analyst is responsible for maintaining charge description master including updates, setting new charges, reviewing for compliance, and making recommendations for optimizing reimbursement as well as maintaining competitive pricing. This individual works closely with hospital departments to ensure charges are compliant according to all applicable regulations and billing requirements. Responsibilities
- Responsible for reviewing and maintaining CDM especially for supplies and drugs, ensuring all data elements are accurate and comply with all payors requirements.
- Recommends appropriate charge structure for CDM items
- Reviews area charge description master with departments on a quarterly or as needed basis
- Works with the revenue producing departments to ensure ongoing coordinated consistency of CDM, including accurate descriptions, coding, additions, deletions, pricing and any other changes. Additionally, is responsible for converting HCPCS units, as necessary
- Ensures that all Chargemaster changes are appropriately communicated to affected departments and modifications made in related ancillary systems.
- Analyzes charges and reimbursement to ensure compliance with Federal and State claims submission regulations
- Ensures the existence of accurate charging processes
- Participates in ongoing coordination and resolution of revenue issues as they arise
- Monitors charge sheets and systems used by revenue producing departments to verify that they are current and accurate. In cooperation with departmental managers, designs new charge sheets as necessary.
- Represents Chargemaster issues and concerns on the various Epic design/testing/upgrade teams and committees.
- Manages and Conducts special project reviews
- Other duties as assigned
Qualifications
- Bachelors degree in health administration, health information, management or business administration
- 3-5+ years experience in areas of hospital billing, coding, and reimbursement, preferably as CDM coordinator, revenue cycle analyst or coding consultant is preferred. Nursing or clinical or materials management/purchasing background is a plus.
- Understanding of CPTs, HCPCS, APCs, and OPPS preferred
- Excellent analytical, problem solving, and interpersonal and communication skills.
- Must have strong understanding of Medicare, Medicaid and third party payor rules and regulations and thorough knowledge of UB-92 data element requirements.
Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital About Us
Strength Through Diversity The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
- Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
- Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new chapter in our history!
About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high Honor Roll status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's Best Children's Hospitals ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's The World's Best Smart Hospitals ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.
EOE Minorities/Women/Disabled/Veterans