Chargemaster Coordinator, Revenue Integrity (Exempt)

Benefis is one of Montana’s largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!

Primary accountability for accuracy of system chargemaster.  Responsible for ongoing maintenance of chargemaster master data in EMR for Hospital, Medical Group, Senior Services, Home Health, Hospice, Critical Access Hospitals, and Rural Health Clinics.  Joint ownership of chargemaster data maintained within Pharmacy application(s) and Supply application(s).  Advises on compliant charge capture workflows and build, conducts research on compliant billing for new services, models revenue reimbursement impact, and designs compliant charging based on care setting.  Facilitates Chargemaster Committee and participates in CQVA Committee.  Provides direction to Revenue Integrity department and feedback to charging and billing departments.  Coordinates yearend CMS updates to CPT, HCPCS, and RVUs as well as pricing fee schedules.  Requires close coordination and collaboration with clinical leaders, IT, UM, Finance, and Revenue Cycle. 

Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System’s organization policies and procedures.

Education/License/Experience Requirements:

• A combination of four (4) years post-secondary business or healthcare education and zero (0) years of work experience.  Or zero (0) years of work experience and two (2) years post-secondary of business or healthcare education.  Or five (5) years of work experience and zero (0) years post-secondary business or healthcare education.
• Working Knowledge of: Medical Billing and Hospital Revenue Cycle; Charge Capture Processes; HCPCS, CPT4, ICD-10 coding, Modifiers, Revenue Codes, CCI edits; Medical Terminology; Basic Human Anatomy; Hospital EMR Systems; & Clinical Documentation Practices.