Charge Integrity Manager

Description Introduction Do you want to join an organization that invests in you as a(an) Charge Integrity Manager? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Charge Integrity Manager like you to be a part of our team.

Responsibilities

• Compare Chargemaster of Meditech Expanse facility to HCA ESC and map the facility to meet standards.
• Support Meditech Expanse with oversight of all chargemaster-related activities including monitoring deadlines and compliance mapping to HCA standards (75% travel possible with Meditech Expanse activity).
• Utilize data analytics to help support compliance monitoring of chargemaster for new Meditech Expanse implementations in addition to evaluating appropriate revenue capture analytics.
• Communicate relevant company billing and coding decisions to all relevant parties in response to Meditech Expanse management, including but not limited to action plan management.
• Responsible for maintaining positive relationships with key stakeholders including but not limited to CRM team, Corporate Compliance team, Corporate Functional Area Leaders, HIS team, IT&S team, Regs, SSC Leadership, ECOs, CDM Managers, RI Leadership, project management.
• Support Company strategy for Masterfile mapping standardization.
• Perform prebill charge capture review.
• Work closely with HCA Corporate Regs team to ensure compliance with billing and coding standards.
• Perform education to with ancillary department leaders and other key stakeholders as identified related to HCA standards and billing guidelines.

Qualifications

• Bachelor’s Degree in Nursing, Healthcare, Business or related field required.
• Equivalent work experience may substitute education requirements.
• Minimum five years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program. Charge Master or Chart/Bill audit experience preferred.
• Experience with the HCA Patient Accounting, Artiva/ Collections, Meditech, EPIC and Smart software is a plus.
• RHIA, RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credentials; other healthcare related credentials such as (but not limited to) RN, LPN, LVN or RT preferred. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Charge Integrity Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job