Position Overview
Description
Master (CDM) is maintained regularly.
Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital charge master.
Operational Improvement
Collaborates with stakeholders in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed.Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives.Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems. Responsible for problem solving and resolution of complex claim edits.Stay up-to-date with industry trends, emerging technologies, and regulatory changes a...