Job Information
Billings Clinic Chargemaster Analyst in Billings, Montana
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) .
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!
Chargemaster Analyst
REIMBURSEMENT (Billings Clinic Main Campus)
req7527
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours (Exempt)
Starting Wage DOE: $23.29 - 27.37
Under general guidance, responsible for the continual maintenance, analysis, development and improvement of the charge (fee) schedules of the organization. Completes assignments of a broad nature independently, for the Director of Reimbursement, or collectively with other Financial Support staff.
Essential Job Functions
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Interacts with management, Patient Accounts, Coding, Coding Advisors and other analysts in the development of the policies and procedures necessary to ensure optimal organizational charge structure.
• Provides continued maintenance and updating of the organization’s charge coding and prices in system master files. Establishes new charge pricing and coding in the master files as necessary, ensuring that new codes and updates to codes or charges are entered in a timely fashion to allow for prompt billing and reimbursement optimization.
• Assists the revenue analyst with the annual departmental fee reviews and the reviews and documentation of departmental charge processes, including system interfaces. Assists in performing analysis for annual CPT and HCPCS code updates to identify additions, deletions, and modifications. Additionally, assists in the enforcement of established fee review policies and the departmental charge and reconciliation policies and procedures.
• Develops and maintains good communication with administration, managers, specialists and physicians.
• Acts as a resource to the health system and provides information for the appropriate individuals.
• Assists with audits of chargemaster system to assure compliance with business strategies and current policies/procedures for the billing systems used across the organization.
• Provides support in the maintenance of the other various databases within Finance, as requested. Participates in the testing and troubleshooting of system upgrades and enhancements in conjunction with Information Services and vendors.
• Participates with other Finance staff with ad hoc analysis and uses performance improvement principles to assess and improve efficiency and quality.
• Ensures that all items and services such as procedures, patient visits, supplies and pharmaceuticals that are charged through the CDM are described, coded and in compliance with billing guidelines and regulatory standards. Reviews all requests for changes, additions and deletions Validates correctness of CPT/HCPCS codes, revenue codes, and descriptions Performs routine maintenance functions in Craneware including new software releases/upgrades, merging updated CDM files, building workflows, and new user set up. Coordinates with Craneware Software Support to resolve issues to ensure that minimal downtime occurs with Craneware Chargemaster Toolkit. Assists in developing written billing guidelines and providing education and instruction in their use. Responsible for performing complex duties that must bridge an understanding of coding, finance, payer contracting and departmental functions.
• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
• Performs other duties as assigned or needed to meet the needs of the department/organization.
Minimum Qualifications
Education
• High School or GED
• Two (2) years post high school education, preferred
Experience
• Prior knowledge and/or experience working with chargemaster systems and charge capture processes
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)
Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.