Manager Charge Master- HIM Revenue Integrity
 UNC Health Care | |
 United States, North Carolina, Chapel Hill | |
 Jan 16, 2025 | |
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Job Description
Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The System Charge Master Manager will be responsible for ensuring the integrity of the UNC Health Care System Charge Description Master (CDM) and related processes. This position will lead the Charge Master Support Analyst(s) in conducting ongoing Charge Master activities (reviews, consolidation, revenue routing, etc) to ensure compliance with Federal guidelines. Additionally, the Manager is responsible for ensuring processes are conducted efficiently and in a high quality manner to meet service level agreement (SLA) expectations and regulatory standards for Revenue Integrity. Job Responsibilities 1.Charge Master - Responsible for day-to-day activities related to charge description master (CDM) creation/maintenance and ensuring all charging and coding regulations are followed and compliance is achieved. Assists with charge establishment for new services and departments. Completes network entity CDM consolidation and works closely with them to ensure the tasks are completed accurately and timely. Oversee the maintenance of the cost center assignment table to ensure appropriate revenue mapping. Coordinate/resolve revenue concerns with department management. Oversee and coordinate the update of all HCS fee schedules- including client billing, research and all laboratory related fee schedules. Work cohesively with IT clinical applications staff when completing CDM updates, building new services, and/or new department builds to ensure clinical areas are able to charge for services timely and accurately. Work closely with clinical areas to understand the budget, net revenue change, and labor impacts of proposed CDM changes, as well as, supply chain system operations. Coordinate and oversee the use of other vendor systems to assist with CDM maintenance and knowledge source products. Actively engage Revenue Cycle leaders, Clinical Liaisons, and other team members to proactively identify educational opportunities and to provide education as it pertains to changes in charge practices, in accordance with local/national guidelines. Serve on local and/or system committees, councils, focus groups and work teams associated with advancing the revenue cycle strategy of the health care system upon request. Participate in revenue cycle leadership touchpoint interactions and meetings with affiliate leadership groups upon request of System Director. 2. Leading People Leads people toward meeting the organization's vision, mission, and goals. Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Ensures that team treats sensitive or confidential information appropriately. Works to improve and reinforce performance of others. Delegates assignments, clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Encourages workforce engagement by building a commitment to excellence. Works collaboratively toward solutions that accomplish organizational objectives. Develops effective staff professional development plans.
3. Leading Change Initiates and manages the change process, taking steps to remove barriers or accelerate its pace. Communicates a compelling vision and need for change that generates excitement, enthusiasm, and commitment to the process. Clearly communicates the direction, required performance, and challenges of change to all involved parties. Identifies and enlists the support of key individuals and groups to move the change forward. Obtains and provides resources to implement change initiatives. Serves as a role model by demonstrating commitment to innovation and continuous improvement in organizational performance.
4. Results Driven Exceeds departmental and organizational goals and customer expectations. Makes decisions that produce high-quality results by applying knowledge, analyzing problems, and calculating risks. Delivers high-quality services and is committed to continuous improvement. Understands the overall financial performance of the organization and applies financial concepts and practices to establish and maintain realistic budgets. Uses financial information to monitor overall financial status of operations.
Other Information
Education Requirements
Bachelor's degree in an appropriate discipline. Licensure/Certification Requirements
No licensure or certification required. Professional Experience Requirements
Five (5) years of progressive experience in related field. Knowledge, Skills, and Abilities Requirements
Job Details
Thorough understanding of CDM build/maintenance. Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as the impact reimbursement and coding guidelines can have to the CDM. Extensive knowledge of CPT, HCPCS, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance) required. Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment, Proficient in time management with superior prioritization skills. Must be self-motivated and detail oriented with strong analytical and critical-thinking skills. Effective verbal and written communication skills with the ability to professional present information to all levels of management. Comprehensive understanding of overall hospital revenue cycle functions. Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Revenue Integrity Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $41.04 - $59.00 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote 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. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. | |