Senior Manager, Hospital and Professional Chargemaster

The Christ Hospital Health Network (TCHHN) Senior Manager of Hospital/Professional Chargemaster is responsible for setting the strategic vision and directing, overseeing, ensuring, and coordinating chargemaster operations across the integrated healthcare system. Operations include but are not limited to: charging, revenue integrity and chargemaster functions. In addition, this position has direct responsibility for quality and compliance activities within span of control and ensuring compliance with national and state law, payer requirements, and TCHHN policy. The Christ Hospital Health Network (TCHHN) Senior Manager of Hospital/Professional Chargemaster is responsible for setting the strategic vision and directing, overseeing, ensuring, and coordinating chargemaster operations across the integrated healthcare system. Operations include but are not limited to: charging, revenue integrity and chargemaster functions. In addition, this position has direct responsibility for quality and compliance activities within span of control and ensuring compliance with national and state law, payer requirements, and TCHHN policy. The Senior Manager of Hospital/Professional Chargemaster develops, maintains, and reports on the chargemaster ensuring data integrity between the chargemaster and individual department’s pricing schedules. The critical responsibilities include maintaining Epic charge description master including updates, setting new charges, reviewing for compliance, and making recommendations for optimizing reimbursement as well as maintaining competitive pricing. such as collaborating with clinical and non-clinical leaders to ensure appropriate usage of charge codes, regulating chargemaster compliance to requirements from governing bodies and assisting revenue-generating departments with pricing, charge capture, coding, and billing questions. The Revenue Integrity manager is responsible for maintaining the fee schedules and distributing to clinical and non-clinical leaders. Responsibility will also include revenue integrity initiatives to capture loss revenue as well as CDM analytics. ### Responsibilities | Chargemaster Manage all chargemaster functions across the enterprise: Develop and deploy chargemaster systems as part of TCHHN’s overall Revenue Cycle systems plan. Monitor chargemaster systems and set TCHHN’s standards for data quality and ethical practice. Provide guidance to charge-generating departments regarding strategic pricing services. Oversee the resolution of specific billing edits/errors that require clinical expertise to ensure timely claim processing, effective AR management, and accurate reimbursement. Serve as the principal point of contact for charging issues. Manage CDM-related Epic projects including documentation, file building, testing, validation, workflow decisions, and implementation. Ensure compliant revenue realization through revenue integrity program. Create and monitor methods for charge reconciliation across clinical areas. Oversee all charge review work queues. Ensures the timely addition and deletion of new codes in the chargemaster. Work with process owners on code changes to ensure compliance. Maintains exceptional chargemaster hygiene through audits, documented history of changes, and effectively communicate changes to stakeholders. Create, update, and maintain all chargemaster processes and workflows. Lead in the development of chargemaster policies and procedures related, but not limited to, revenue integrity and chargemaster. Document compliance with and enforce Revenue Cycle’s policies and procedures. Provide education and training to TCHHN employees in areas relevant to chargemaster policies and procedures. Ensure education on accurate and compliant charging practices. Monitor denial trends and conduct root cause analyses to identify denial improvement opportunities. Implement process improvements to reduce first pass and fatal denials. Track and report on the outcomes of interventions.…