Charge Integrity Manager

Overview

Description

Introduction
Do you want to join an organization that invests in you as a(an) Charge Integrity Manager? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free Air Med medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn More About Employee Benefits

Note:

Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Charge Integrity Manager like you to be a part of our team.

Job Summary And Qualifications

The Corporate Charge Integrity Manager for Parallon is primarily responsible for supporting adherence to HCA charge master standards and billing compliance initiatives for Meditech Expanse Implementations as a member of the Parallon Corporate Compliance team. The Manager must be able to support Parallon with knowledge of billing regulations, coding regulation as well as Medicare and other payor specific regulations. This individual will work collaboratively with cross functional teams to support Meditech Expanse Implementations to conduct appropriate charge master mapping and compliance with HCA standards.

In addition, the Manager will serve as subject matter expert to support appropriate revenue capture education and monitoring for Meditech Expanse implementations. The manager will evaluate charge capture practices and prepare corrective actions, including educational opportunities, mapping opportunities, and communicating these activities to the Leadership at Parallon Corporate Compliance. The individual will participate in Meditech Expanse implementation teams and serve as the subject matter expert of Chargemaster mapping activities as well as compliance with Regs standards.

The Manager will support the Parallon revenue capture analysis and prebill capture program. This program will be responsible for capturing potential revenue capture that is compliant with billing and Medicare regulation in addition to being compliant with HCA billing and coding guidance.

This individual must demonstrate a strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner. They must have an extensive background in hospital coding, billing and regulatory requirements, CPT/HCPCS, Revenue Codes and managing professional resources. This individual must have a strong understanding of system integration and revenue cycle.

• Compare Chargemaster of Meditech Expanse facility to HCA ESC and map the facility to meet standards.
• Support Meditech Expanse with oversight of all charge master-related activities including monitoring deadlines and compliance mapping to HCA standards (75% travel possible with Meditech Expanse activity).
• Utilize data analytics to help support compliance monitoring of charge master for new Meditech Expanse implementations in addition to evaluating appropriate revenue capture analytics.
• Communicate relevant company billing and coding decisions to all relevant parties in response to Meditech Expanse management, including but not limited to action plan management.
• Responsible for maintaining positive relationships with key stakeholders including but not limited to CRM team,…