Reimbursement (Supply) -Chargemaster Analyst-Hybrid 150 East 42nd Street

Reimbursement (Supply) -Chargemaster Analyst Hybrid 150 East 42nd Stret 

The Reimbursement and Chargemaster Analyst is responsible for maintaining charge description master including updates, setting new charges, reviewing for compliance, and making recommendations for optimizing reimbursement as well as maintaining competitive pricing. This individual works closely with hospital departments to ensure charges are compliant according to all applicable regulations and billing requirements.

• Responsible for reviewing and maintaining CDM especially for supplies and drugs, ensuring all data elements are accurate and comply with all payors requirements.
• Recommends appropriate charge structure for CDM items
• Reviews area charge description master with departments on a quarterly or as needed basis
• Works with the revenue producing departments to ensure ongoing coordinated consistency of CDM, including accurate descriptions, coding, additions, deletions, pricing and any other changes. Additionally, is responsible for converting HCPCS units, as necessary
• Ensures that all Chargemaster changes are appropriately communicated to affected departments and modifications made in related ancillary systems.
• Analyzes charges and reimbursement to ensure compliance with Federal and State claims submission regulations
• Ensures the existence of accurate charging processes
• Participates in ongoing coordination and resolution of revenue issues as they arise
• Monitors charge sheets and systems used by revenue producing departments to verify that they are current and accurate. In cooperation with departmental managers, designs new charge sheets as necessary.
• Represents Chargemaster issues and concerns on the various Epic design/testing/upgrade teams and committees.
• Manages and Conducts special project reviews
• Other duties as assigned

• Bachelors degree in health administration, health information, management or business administration
• 3-5+ years experience in areas of hospital billing, coding, and reimbursement, preferably as CDM coordinator, revenue cycle analyst or coding consultant is preferred. Nursing or clinical or materials management/purchasing background is a plus.
• Understanding of CPTs, HCPCS, APCs, and OPPS preferred
• Excellent analytical, problem solving, and interpersonal and communication skills.
• Must have strong understanding of Medicare, Medicaid and third party payor rules and regulations and thorough knowledge of UB-92 data element requirements.

Compensation Statement

The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $85,999.90 - $92,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

 Explore more about this opportunity and how you can help us write a new chapter in our history!

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