|The University of Maryland Medical System is a 12-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. UMMS is currently seeking a Charge Master Coordinator for our Linthicum location.|
Under limited supervision conducts daily and annual Charge Description Master (CDM) maintenance, charge capture auditing and monitoring, financial analysis, volume and revenue reporting and analysis and oversees the daily work activities of the Revenue Integrity Analysts and Finance Intern(s).
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Responsible for the daily and annual maintenance of the Charge Description Master (CDM). This process will include the following:
A. Working with various hospital departments including clinical areas, Compliance, Medical Records, and Patient Financial Services.
B. Accountability for the overall maintenance of the CDM and annual development of a charge master workplan that includes the routine evaluation of CDM related policies and procedures.
C. Notification to departments regarding Local Medical Review Policies and Medicare Bulletins.
D. Quarterly integrity checks to ensure CDM compliance with HSCRC regulations and other regulations as identified.
E. Development of policies and procedures for internal R&CE use regarding the CDM.
F. Internal Finance communications regarding CDM changes.
2. Responsible for the reporting and monitoring of key charge capture functions. This requires working independently with minimal supervision to meet with various levels of management throughout the organization to implement effective charge capture functions. This process will include the following:
A. Reviewing the charge capture process in each of the revenue producing departments in selected facilities within UMMS as part of the Annual CDM Review.
B. Development, implementation and monitoring of new charge capture procedures that will improve revenue capture for selected facilities within UMMS.
C. Responsible for formalizing and completing written documentation for each department the charge capture process, which should include the process of entering charges, reconciling daily charges, cleaning-up charge rejections and identifying back-up personnel for these processes.
D. Working collaboratively with departments to implement these recommendations.
E. Responsible for the monthly preparation and monitoring of various reports including charge edit error reports, charge ticket rejections, departmental volumes and charges and departmental late charges.
F. Responsible for implementing a continuous education process for departments which will teach the importance of charge capture and advise departments of effective procedures for completing the charge capture function.
3. Supervises and directs Revenue Integrity Analysts and Finance Interns who perform financial cost and rates analysis and reporting in accordance with departmental and UMMS personnel policies and procedures.
A. Completes individual performance evaluations under the supervision of management.
B. Ensures timely and accurate completion of work by monitoring daily work activities.
C. Trains staff on new practices, and otherwise promote staff professional development.
4. Communicates regularly with various UMMS departments to provide analytical and technical support regarding regulatory policies and procedures and volume and revenue analysis.
5. Analyzes actual volume performance and compares it with established budgets and reports and interprets the results to all levels of management.
6. Prepares various regulatory reports and special projects as requested by senior management.
7. Develops and implements procedures in performing tasks required by internal management or outside regulatory agencies.
8. Attends and participates in in-service training and various educational programs for professional growth and development. Keeps up-to-date with the developments/changes in the field and applicable regulations and procedures affecting hospital finance and regulatory practices.
As a University of Maryland Medical System (UMMS) employee, you will enjoy a comprehensive benefits program designed with you and your dependents in mind. Subject to any eligibility waiting period, all of the benefits are available to regular full-time employees and most benefits are available to regular part-time employees who are regularly scheduled to work twenty (20) or more hours per week. Many benefits are provided at no cost to employees. For others, the cost is shared between UMMS and employees.
|Bachelor’s degree in Accounting, Finance, or other related field OR equivalent combination of education and experience is required. MBA, CPA or Master’s degree in Finance preferred.|
5 years of progressively responsible professional financial and reimbursement analysis experience, or equivalent, is required.
2 years of progressively responsible supervisory experience is necessary to be trained in effective management of subordinate staff and to be able to measure productivity and effectiveness of department activity.