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Senior Charge Analyst
OhioHealth. Plan and oversee Charge Analysts' performance of essential department accountabilities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of hospital operations, revenue cycle functions, and compliance regulations, with a strong focus on charge master management and reimbursement methodologies. Proven ability to lead teams, develop policies, and implement processes that enhance departmental capabilities and ensure accurate billing practices.
Highest-signal resume keywords
Charge Master ManagementReimbursement MethodologiesProject ManagementAudit ExperienceRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Hospital OperationsRevenue Cycle FunctionsBilling Code AssignmentPolicy DevelopmentWorkflow ImplementationData AnalysisFinancial ReportingPatient AccountingCDM ReviewsAuditing
Soft Skills
CoachingTeam LeadershipCollaborationCommunicationFeedback Provision
Tools & Technologies
Modeling SoftwareReporting SoftwareDatabase Management Software
Certifications & Qualifications
RNCPCCPC-HCCSCCS-PRHIA
Industry Keywords
Medicare RegulationsMedicaid RegulationsIntegrated Healthcare Delivery SystemManaged CareFederal RequirementsState RequirementsNon-Governmental RequirementsPatient Care DepartmentsCentral Business OfficeHealth Information Management
About the role
Key responsibilities & impact- Plan and oversee Charge Analysts' performance of essential department accountabilities
- Report goal status to department leadership
- Organize Charge Analysts' work, including CDM reviews, audits, and implementation of new or changed Medicare and Medicaid charging regulations
- Assess workload, assign work, monitor schedules, and report progress
- Represent the department on interdisciplinary teams for new departments, care sites, and information system projects
- Direct department resources and ensure team accountabilities and goals are completed on schedule
- Provide ongoing feedback, coaching, support, orientation, and education to Charge Analysts
- Develop policies, procedures, workflows, and tools to monitor department accountabilities
- Complete advanced chargemaster goals involving non-central Ohio business units, on-hospital facilities, new technology, reimbursement methodologies, and compliance regulations
- Implement functionality, processes, and supports that advance department capabilities and services
- Assist the manager and director with non-routine special projects
- Develop and maintain charge description masters for central Ohio operations
- Research federal, state, and non-governmental requirements to assign compliant billing codes
- Determine patient prices according to chargemaster standards and reimbursement methodologies
- Ensure chargemasters comprehensively cover all department services
- Coordinate and collaborate with patient care departments, Central Business Office, Health Information Management, Information Systems, Managed Care, Corporate Finance & Financial Reporting, and Ethics & Compliance
Requirements
What you’ll need- Bachelor's Degree (Required)
- Certification in at least one of the following: RN, CPC, CPC-H, CCS, CCS-P, RHIA
- Ability to read, analyze, and interpret regulations related to federal, state, and managed care billing
- Advanced knowledge of hospital operations and revenue cycle functions and interdependencies from scheduling through collection of the final bill
- Working knowledge of reimbursement methodologies in an integrated healthcare delivery system, including APCs, physician fee schedule, and ASC
- Audit experience
- 5+ years of experience in charge master management
- Experience in project management and leading teams of a long-term duration
- Knowledge of clinical and financial applications for documentation, billing, coding, and patient accounting
- Proficiency using software for modeling, reporting, and database management
Benefits
Comp & perks- Full-time employment
- Day shift
- 40 scheduled hours per week