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Charge Master and Integration Manager

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  56862

 

JOB SUMMARY

Provides leadership and oversight to Children’s Healthcare of Atlanta charge and transactional master files. Establishes charges and transaction codes requested by operational and financial
leaders, updates charges as appropriate, and monitors charges and transaction codes established for appropriateness. Tracks new and updated regulatory and contractual requirements to identify
potential updates needed to charge master and other master files. Maintains relationship with financial/operational staff engaged in pricing, charging, and reporting to coordinate input and charge
master changes. Maintains close working relationship with Information Systems & Technology business partners and serves as subject matter expert on use of Epic system master files and
functionality related to pricing and charging, e.g., EAP, Epic Resolute HB/PB, and other applications. Supports efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta.
 

EDUCATION


• Bachelor’s degree in Business, Accounting, or Finance

CERTIFICATION SUMMARY

• No professional certifications required

EXPERIENCE*

• 5 years of experience in a healthcare accounting, revenue cycle, and/or finance supervisory/management role

PREFERRED QUALIFICATIONS*

• Experience in a clinical or ancillary healthcare role
• Experience in Epic master files and applications
 

KNOWLEDGE SKILLS & ABILITIES*

• Demonstrated knowledge of hospital pricing/charging and claims/reimbursement requirements and processes
• Demonstrated success managing, monitoring, and optimizing information systems related to pricing, charging, and charge master systems and applications
• Demonstrated critical thinking, communication, organizational, and interpersonal skills, including those related to problem-solving and staff development

JOB RESPONSIBILITIES*

1. Coordinates all Epic system updates to charges, transaction codes, and prices.
2. Manages assigned staff related to the implementation of charge master, transaction codes, and price updates.
3. Monitors changes requested to charges, transaction codes, charge workflows and Epic system charging functionality.
4. Identifies potential revenue, claims, and compliance issues related to prices and charges.
5. Works collaboratively with Finance, Reimbursement, Operations, Revenue Cycle, Information Systems & Technology, Compliance, and other stakeholders to identify charge master requirements and updates required based on changes to regulatory, coding, and contractual requirements.
6. Develops and maintains written procedures related to establishing, maintaining, and monitoring charge processes.
7. Performs periodic monitoring and validation of procedures and workflows to ensure compliance with policies and procedures developed.
8. Develops, maintains, and distributes meaningful management reports and action plan necessitated by performance noted in reports.
9. Communicates issues and opportunities related to charge master, transaction codes, pricing, and revenue cycle, providing insight and direction.
10. Assists as necessary with audits and investigations conducted by Legal and Internal Audit departments.
11. Initiates, supports, and participates in continuous quality improvement initiatives.
12. Responsible for all aspects of managing and leading a team including: interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees.
13. Mentor team members to encourage personal and professional growth.
14. Encourage ongoing skill development by providing opportunities for continued education.

SYSTEM RESPONSIBILITIES*

• Maintains positive attitude and aggressive commitment to improvement.
• Detects opportunities for improvement.
• Interacts with teams throughout Finance and the system to identify and pilot possible solutions.
• Collaborates on appropriate steps necessary to ensure compliance and advance improvement.
• Develops and documents methods and processes related to charges, transaction codes, and other related elements.
• Coordinates effectively with others to implement and maintain processes necessary to realize improvement.

Safety: Practices proper safety techniques in accordance with hospital and departmental policies
and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or
other safety issues to the supervisor and in the occurrence notification system.
Compliance: Monitors and ensures compliance with all regulatory requirements, organizational
standards, and policies and procedures related to area of responsibility. Identifies potential risk
areas within area of responsibility and supports problem resolution process. Maintains records of
compliance activities and reports compliance activities to the Compliance Office.
The above statements are intended to describe the general nature and level of work
performed by people assigned to this classification. They are not intended to be an
exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*
Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance
Bending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)
Climbing - Not Present
Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.
Lifting - Not Present
Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)
Sitting - Constantly (activity or condition exists 2/3 or more of time)
Standing - Occasionally (activity or condition exists up to 1/3 of time)
Walking - Occasionally (activity or condition exists up to 1/3 of time)
WORKING CONDITIONS*

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials.  We offer a comprehensive compensation and benefit package that supports our mission, vision and values.  We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329
Function:  Revenue Cycle - Patient Financial Services