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Job ID: 40640
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Assists the Charge Master Coordinator in the maintenance of the CDM.
DESCRIPTION OF JOB RESPONSIBILITIES
1. Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans. 2. Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI. 3. Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers. 4. Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.
Bachelor’s degree in an appropriate discipline (or equivalent combination of education, training and experience).
LICENSURE/CERTIFICATION REQUIREMENTS No licensure or certification required.
PROFESSIONAL EXPERIENCE REQUIREMENTS
If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Revenue Integrity
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity and affirmative action employer.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
All interested applicants are invited to apply for career opportunities. Please refer to our Employment Application Accessibility page if you need a reasonable accommodation to search and/or to apply for a career opportunity.
To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process.