Charge Master Services Expert - Finance - Full Time
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Job Description
"Charge Master Analyst/Expert
- Education: Bachelors degree in healthcare,
- Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.
- PBO Expert Expertise: Proven mastery of the PBO (Patient Business Office) platform workflows, including the interrelation between clinical triggers, charge routers, and final claim generation.
- Specialized Knowledge: Expert-level understanding of Behavioral Health, ASC-covered procedures, and acute care reimbursement models.
- Experience: 5 years in CDM maintenance and Medicare billing. Expert proficiency in CDM tools (e.g., Panacea).
POSITION SUMMARY
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This role is a key driver of financial health, responsible for minimizing revenue leakage and ensuring 24/7 regulatory compliance. You will utilize advanced analytics to oversee the resolution of billing bottlenecks (DNFB, CEWL, EBEW) and ensure that the PBO platform remains a high-performing, compliant engine for all facility and professional charges.
Key Performance Indicators (KPIs):
- Clean Claim Velocity: Maintain a 48-hour release target by eliminating PBO charge router edits and CDM-related pre-bill holds.
- DNFB & CEWL Reduction: Maintain unbilled account volumes within top-quartile industry benchmarks through aggressive root cause resolution.
- Charge Integrity Rate: Achieve >99% accuracy in annual audits of the PBO-to-Clinical system mapping.
- Audit Defensibility: Maintain a 100% compliance rate with government and commercial audit deadlines
QUALIFICATIONS
EDUCATION:
- Bachelors degree in healthcare,
Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Planswith employer contributions
Short-Term & Long-Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursementto support your educational goals
Flexible Spending Accounts (FSAs)for healthcare and dependent care
Wellness Programsto help you thrive
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.
"Apply Now- Job Identification01-39584
- Job CategoryFinance
- Job ShiftVaries
- Pay Range$60,472 - $90,806 per year
- Holidays RequiredNo
- Weekends RequiredYes
- Hrs Per Week40
Generous Paid Time Off (PTO)Medical, Prescription Drug, Dental & Vision InsuranceRetirement Plans with employer contributionsShort-Term & Long-Term Disability CoverageLife & Accidental Death & Dismemberment InsuranceTuition Reimbursement to support your educational goalsFlexible Spending Accounts (FSAs) for healthcare and dependent careWellness Programs to help you thriveVoluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.
Pay Transparency In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions.
AtlantiCare is an Equal Opportunity Employer
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