You can be part of the team responsible for building and maintaining charge master records for the hospital system. You’ll ensure that hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other policies. You’ll apply your extensive knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records. You will:

• Develop and maintain charge codes and prices in partnership with ISS CareConnect teams and Operational Departments.
•   Investigate and resolve suspended charge records from CareConnect hospital billing work queues assigned to the Charge Description team.
• Create new charge records as needed for new CareConnect applications. Participate in developing testing scenarios. Validate testing procedures to ensure that new workflows generate charges properly.
• Conduct quarterly, annual, or as-needed reviews to ensure that the Charge Description Master is updated for new and revised CPT4/HCPCS codes.
• Comply with the Charge Master Department’s policy and procedures related to charge codes and descriptions.
• Effectively coordinate and facilitate user interaction with CareConnect teams to define and validate processes that assure effective and efficient charge flows.
• Maintain files that contain the audit trail of Charge Description Master additions, updates, and other changes. 
• Collaborate with the Revenue Capture, Revenue Integrity, and HB teams on the routine review of charge capture processes. 
• Manages and conducts special project reviews.
• Maintain compliance with CMS, Medi-Cal, and health plan billing regulations.
• Analyze complex billing/financial data.
• Summarize data and present findings to leadership.