Charge Description Master Analyst I

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $51,700 – $99,000 based on experience

The CDM Analyst is responsible for analyzing the charge master and conduct financial reviews to determine charge accuracy and comprehensiveness.

Job Responsibilities:

• Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits. Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff.

• Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master.

• Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation.

• Ensures compliance with pricing policy.

• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master.

• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees.

• Working with groups, also develops new areas of review for future revenue enhancement. Groups may include representatives from various clinical areas, Coding, Medical Records, Billing, Compliance and Information Systems. Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. 

• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. 

• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.

• Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master. Manages communication of routine changes to coding and billing protocols and conventions …