Revenue Cycle Analyst - Nesco Resource, LLC

A major medical facility in Jamaica, NY seeks a Revenue Cycle Analyst/Chargemaster. This is a full-time position and is onsite 3 days a week. 

Skills and Knowledge

• Outpatient Medicare and Medicaid coding and billing regulations
• All components of the chargemaster including but not limited to CPT, HCPCS, modifier, revenue codes and CDM descriptions to assure compliance and regulatory requirements
• Hospital or Physician coding and Billing experience
• Proficient in using Microsoft applications including Excel and Word
• Hospital charging systems and charge capture process
• Good organizational and communication skills
• Ideal candidates will have experience working with EPIC, Craneware Bill Analyzer.

• Scope of activities include accurate establishment of clinical charge capture, researching and resolving charge system problems and analysis of current systems for purposes of identifying system improvements
• Documents system performance, to ensure accuracy, compliance, and to improve revenue
• Perform audits to evaluate if all charges are being captured appropriately
• Performs maintenance of the EAP and Fee Schedule, MPI, JBF, crosswalk master files, panels and driver files, preference list and other
• Ensures that all chargemaster additions, deletions, and modifications are appropriately communicated to the departments, builders, trainers and related ancillary systems
• Assist on maintenance of historic CDM (JBF nat acct), EPIC, CDM next number (JBF separate) Optime CDM, Panel Drivers, other files
• Serves as a communication link between staff, physicians, charge nurse, business office, revenue cycle director, and other reimbursement specialists in discussing issues, recommendations, solutions and answering questions related to charges and charge master
• Generates the report of the most recent EAP master charges and fee schedule and uploads/imports text data in EPIC when necessary
• Works with the application teams to build all charges, charge capture methods, charge review, reconciliation reports and work queues for all workflows
• Resolves errors identified through EPIC work queues
• Procedure is reviewing and analyzing of documentation, charge capture professional/technical, CPT code, procedure (EAP) master file, charge linked, orders, interface, fee schedule, system build, charge router rules, charge trigger, cost assignment, etc.
• Coordinate and perform analysis for annual CPT and HCPCS code updates to identify deletions, modifications that need to be made in EPIC System Standard CDM and Informatic Staff.
• Performs analysis utilizing Craneware Bill Analyzer
• Review bulletins and publications for coding and billing updates to communicate with affected departments and sustain understanding of the regulatory requirements
• Responsible for resolving any coding related errors and denials that are identified by the Hospital's billing system as a part of the revenue by designated work queues

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• 8 hour shift