Career and Job Postings

11-03-2017 - Chargemaster Manager

Cincinnati Children’s Hospital is conducting a search for a Chargemaster Manager to facilitate the development, maintenance, daily operations and continued enhancement of an integrated Chargemaster to meet Senior Management, Business Intelligence, Patient Financial Services, Professional Billing Services, Home Care, Payor Relations and Enterprise-wide needs of a Medical Center dedicated to the care of infants, children and adolescents.

This role will oversee the maintenance of the hospital, professional and home care chargemasters, including the review and approval of revenue center codes, CPT codes, and pricing appropriateness as applicable and review the Chargemasters on a regular basis for potential areas that can be stream-lined.

Additional responsibilities include:

  • Educate and/or assist division managers in understanding their chargemaster and incorporating changes.  Understand current and new services, make accurate code assignments, ensure consistency on pricing and coding throughout the compendium
  • Monitor annual cpt code changes and ensure that compendiums impacted by such changes are updated.
  • Educate and/or assist division managers in understanding their chargemaster and incorporating changes.
  • Understand billing rules and regulations and identify areas of risk in the revenue cycle. Responsible for the keeping an updated procedure manual on the chargemaster.
  • Ensure that annual meetings are scheduled between each department and the appropriate EPIC IT Team to review their charges and the EPIC set up to ensure all charges are available for use.

Ideal candidates will have a Bachelor’s degree in accounting, finance, HIM or a related field along with five years of related accounting or financial professional experience.  Coding certification or registry (i.e. CCS, RHIT, RHIA) required along with hospital revenue cycle experience.          Epic knowledge along with advanced skills in Excel required.  Supervisory experience along with leadership and excellent communication skills desired.

Cincinnati Children’s Hospital, a nonprofit academic medical center established in 1883, and is one of the oldest and most distinguished pediatric hospitals in the United States. We offer comprehensive clinical services, from treatments for rare and complex conditions to well-child care. In the 2017-18 U.S. News & World Report survey of best children’s hospitals, Cincinnati Children’s ranked No. 3 among all Honor Roll hospitals.

Resume and cover letter may be sent to nancy.leyritz@cchmc.org or you may apply on our career center at:  http://jobs.cincinnatichildrens.org/us/en-us/Job-Details/Chargemaster-Manager-Job/Vernon-Manor/XjdP-jf858-ct104562-jid79553734.

10-24-2017 - Coding Manager

Cincinnati Children’s Hospital is conducting a search for a Manager of the Coding Services Department. The Coding Service Manager is responsible for the day to day operations of the hospital coding area. Coding Services is responsible for the following account types: inpatient, infusion, outpatient surgery, observation, homecare, OT/PT, Perlman, Audiology, Nutrition and claim edits.

This role will manage all HR issues related to 18 both onsite and remote staff.  Track and monitor coding productivity and quality. Assist with the development and implementation of our coding audit plan.  Plan section meetings and develop policies,  procedures and education.  Provide coding, claim edit support and work with HIM students.  Work with 3M and Epic on system enhancements.  Assist with coding related denials and/or coding related questions across the organization.

Ideal candidates will have a Bachelor’s Degree in a health care related field OR Equivalent combination of education and experience along with 5 years of hospital inpatient and outpatient coding experience.  Certification in Registered Health Information Technician OR Registered Health Information Administrator required. Operational and supervisory experience desired.  Experience in a complex medical center and pediatric academic medical center environment desirable.

Cincinnati Children’s Hospital, a nonprofit academic medical center established in 1883, and is one of the oldest and most distinguished pediatric hospitals in the United States. We offer comprehensive clinical services, from treatments for rare and complex conditions to well-child care. In the 2017-18 U.S. News & World Report survey of best children’s hospitals, Cincinnati Children’s ranked No. 3 among all Honor Roll hospitals.

Resume and cover letter may be sent to nancy.leyritz@cchmc.org or you may apply on our career center at:  http://jobs.cincinnatichildrens.org/us/en-us/Job-Details/Coding-Services-Manager-Job/Winslow-Office-Building/XjdP-jf864-ct104601-jid77859455.

10-02-2017 - Consultant- Chargmaster & Pricing, Hosp Division

Consultant- Chargmaster & Pricing, Hosp Division – Kindred Healthcare

Job Code: 9000426  

Summary:.

Under the supervision of the Director, Chargemaster & Pricing, this position is responsible for developing and maintaining the Charge Description Master (CDM) and charge input tools (charge tickets, order entry screens) in accordance with annual CPT-4/HCPCS code updates, changes in payer regulations and hospital clinical practices and technologies.  This position will play a critical role in the patient revenue stream through integration with Kindred’s CBOs (Central Business Office), revenue generating departments and payers to ensure optimal and accurate reimbursement.  The person in this position must possess requisite managerial and technical abilities to provide leadership and direction in developing and maintaining systems, process and work flows for the timely and accurate recording of hospital revenue relative to charge capture and maintenance of the CDM.  This position works directly with CBO Management staff; as well as Directors, Managers and clinicians (as appropriate) from all areas of Kindred.  This position may require working at light travel.

Essential Functions:

  • Initiate CDM changes required in clinical and financial systems in response to regulatory and third party payor requirements
  • Based on government regulations and third party payer requirements, coordinates updates to clinical and billing systems to ensure accurate CPT/HCPCS coding and charges are applied for all patient services performed.
  • Develop and maintain a collaborative working relationship with revenue producing departments, information systems personnel, technical and clinical personnel to identify chargeable activities, to establish charge mechanisms and to assure orderly and timely recording of revenue
  • Develop pricing philosophy and techniques to establish new fees for supplies and services by utilizing market data and information to assist in the pricing process
  • Integral part of the  annual review of the CDM, which includes identifying CPT and HCPCS Level II codes which have been deleted, added or replaced; assigning CPT and HCPCS specific codes when appropriate; identifying description changes; and ensuring the nomenclature reflects the procedures performed and determine if services are provided that are not currently captured
  • Audits data for accuracy between clinical and billing systems to ensure accuracy of billings and compliance with government policies/regulations.
  • Owns the system administrator role for CDM software tool.
  • Coordinates implementation of CDM changes through IT and/or communication to the hospitals.
  • Incorporates annual charge updates and provides instruction/training to field personnel.  Collaborates with multiple IT support resources to implement changes on various systems.
  • Serves as a resource to hospital staff for questions on new procedures and amount to be charged (references government regulations).

Knowledge/Skills/Abilities:

  • Knowledge of CPT, HCPCS, and UB Editor codes
  • Working knowledge of charge capture and charge entry processes in a healthcare environment
  • Must have strong analytical and communication skills
  • Ability to interpret and audit services performed against charges made
  • Knowledge of compliance area relative to patient billing

Qualifications:

Education:

  • Bachelor’s degree in related field (preferred)

Licenses/Certification:

  • Coding or Compliance certification (preferred)

Experience:

  • Minimum of 5 years experience in patient financial services, Chargemaster, and/or revenue cycle roles in a hospital or clinical environment including knowledge of coding, billing, and system application.

Disclaimer:

This description is designed to indicate the general nature and level of work for this position.  It is not intended to describe minor duties or other responsibilities that may be periodically assigned. 

If interested, please contact Barb Walro.  Barbara.walro@kindred.com    (502) 596-2332

10-02-2017 - Onsite Revenue Cycle Director - Ohio Opportunities

Onsite Revenue Cycle Director – Ohio Opportunities

Job Summary

The Onsite Revenue Cycle Director will support the Market Director in the direction of facility revenue cycle, and will report to the Market Director of Revenue Cycle within the corporate office as well as to the local C-suite leaders at the facility. The primary function of this position will be the oversight and management of the revenue cycle at the hospital facility, ensuring all aspects of revenue cycle at the facility are delivered on. The Director will be responsible for assisting in training departmental leadership in process improvement, implementing policies, and reporting results to client leaders. Position duties include managing the daily work-flow of the facility, managing eligibility services, monitoring progress to identify trending issues and develop training or processes to address these issues. The Director will also hold huddles to efficiently cover new or evolving training focuses to encourage and develop team members. The Director will be responsible for overseeing progress on Key Performance Indicators and monitoring the worked accounts for quality assurance. The Director will further be involved in the selection, direction and development of new team members. The onsite Revenue Cycle Director is the hospital specific liaison to local leadership. An integral part of the role is to work with hospital departments on DNFB, Charge Entry, late charges and Denials Management. This position will expedite the implementation of root cause solutions and ensure backend operation and front-end are synced.

Participate in hospital operations representing revenue cycle with C-suite leaders, Health Information Management and case management

Coordinate revenue cycle operations and improvement initiatives with Corporate Revenue Cycle Team Members

Patient Access / Scheduling Coordination

DNFB/DNFS

Leads monthly Denials meetings

Oversee Inhouse and Inaudit reviews

Manage Onsite Vendor Management (Eligibility Services, etc.)

Required Education:

Minimum: 4 Yr. Bachelors Degree

Major in Finance, Business, Accounting or Healthcare related field.

Preferred Education: Graduate Degree (Masters)

Certifications:

REQUIRED: Must pass the Certified Revenue Cycle Representative Examination offered through Healthcare Financial Management Association within 90 days of hire, unless already certified.

Experience:

Minimum 5-7 years in Healthcare insurance and hospital revenue cycle required.

Required: 3-5 years of previous management or supervisory experience, preferably in a healthcare environment.

Required: Excellent working knowledge of revenue cycle of the hospital revenue cycle.

Recruiter Contact Information

Anna Strizak

ADStrizak@Mercy.com

Other Information

May be occasionally subject to irregular working hours.

This position is located at one of our Ohio facilities. Relocation assistance may be offered.

10-02-2017 - AR Director (Insurance Follow-Up / Commercial and Government) – Ohio Opportunities

AR Director (Insurance Follow-Up / Commercial and Government) – Ohio Opportunities

Job Summary 

The Director will be responsible for assisting team members with problematic claims and questions regarding processes. Position duties include managing the daily work-flow of the department, monitoring progress to identify trending issues and develop training or processes to address these issues, and lead a team of managers to ensure key performance goals are attained and exceeded. The Director will be responsible for overseeing progress on the floor and monitoring the accounts receivable department to ensure best practices and top performance are achieved.  Additionally, they will be responsible for working with insurance companies to identify reasons for delayed payment for services and additional information requests. The Director will work with their leadership team and coordinate across functional areas of revenue cycle to identify and correct denials trends and processes related to follow-up activities.  They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.

Minimum Education Required:

4 year / Bachelors Degree

Minimum Years and Type of Experience:

3-5 years progressive experience working with Healthcare Insurance Claims and working knowledge of healthcare Revenue Cycle required, hospital specific insurance experience preferred.

2-4 years of previous leadership experience, preferably within the healthcare setting, required.

Certifications:

Completion of the Certified Revenue Cycle Representative (CRCR) certification within 90 days of your start date is a requirement of your continued employment by Mercy Health.

Recruiter Contact Information:

Anna Strizak

ADStrizak@mercy.com

Other Information: 

This position is located in one of our Ohio facilities. Relocation may be offered.