Charge Master Analyst

Scripps | San Diego, CA

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Posted Date 12/19/2024
Description

This is a full-time, benefit eligible position located in San Diego. Must be local or willing to relocate to San Diego.

Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

  • #5 in Fortune Best Workplaces in Health Care 2023
  • #78 in 2023 PEOPLE Companies that Care
  • #95 in Fortune 100 Best Companies to Work for 2023
  • Recognized by Newsweek as one of America’s Greatest Workplaces for Diversity in 2024
  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.

The Chargemaster Analyst maintains the Scripps Health facility chargemasters within applicable coding guidelines and according to Scripps policies and procedures; provides reimbursement analysis; assists with bill problem resolution; and provides coverage guidelines for billable services. Provides other support to the Manager of Chargemaster as requested. Chargemaster Department duties include but are not limited to Monitors and maintains hospital departmental chargemasters to ensure billing accuracy of new and existing service codes. . Insures the appropriate bundling or unbundling of charges so that all charges are submitted to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement Analysis duties include but are not limited to: Assists Patient Financial Services billing personnel in resolving third-party payor billing problems. Develops reports to assist with analysis of reimbursement practices of third-party payors. Develops reports to evaluate the reimbursement effect of third-party payor contract proposals as requested by the facility Fiscal Directors and or financial analysts. Provides analytical support related to reimbursement and billing to facility Fiscal Directors and or financial analysts.

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