The incumbent is responsible for the management and oversight of Charge Description Master related changes for all inpatient and outpatient technical charges including Room & Board Care, Pharmacy, Durable Medical Equipment, hospital based clinics and FQHC ambulatory care practices and ancillary services. Additional functions include implementing charge capture strategies and development of logic for appropriate gross revenue reporting, rate analysis and appropriate alignment of hospital charges to physician charges. Incumbent is the primary liaison in providing expertise for all institutional charge application and regulatory charge guidelines for the hospital. The Chargemaster lead will direct and lead all of the regulatory activities, including but not limited to, OSHPD reporting and CMS Pricing Transparency requirements. The incumbent will develop policies and procedures to support all Chargemaster activities. Works independently and collaboratively, as needed, with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decision regarding the Chargemaster.
In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:
Annual Rate Minimum $78,900.00 Midpoint $112,000.00 Maximum $145,100.00
Core Organizational Functions:
ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Follows through and meets commitments; accountable for own actions and supportive of colleagues; presents self in appearance and actions in a manner that conveys professionalism and pride in area of responsibility; projects a positive presence and ensures that work related or personal frustrations are kept separate from patient care and professional activities; takes responsibility for problems and solutions; follows existing policies and procedures.
RESPECT: Foster an environment of mutual respect and trust among ourselves and with all whom we serve. Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the individual's name, if known; treats all guests and co-workers with the utmost respect, dignity, courtesy and respects their confidentiality; arrives to meetings on time; keeps personal conversations with other employees offstage, out of earshot of patients and visitors.
INTEGRITY: Tells the truth and strives to earn the trust of those around us. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the best interest of UC Irvine Health.
INNOVATION: Seeks ideas and approaches that can change the way the world discovers, teaches and heals. Approaches work creatively and continuously looks for new and flexible ways to solve problems; encourages and implements ideas to improve safety, customer service and operational performance; works to create efficient and effective systems so that time is not spent repeating and fixing problems; initiates and supports change.
SERVICE: Collaborates to effectively and compassionately serve our patients, each other and the community. Anticipates customer's needs; maintains a calm, quiet, healing environment; accepts assignments graciously and carries out duties with pride; recognizes that every individual has an area of expertise and his/her contribution is valuable; keeps patients, families, customers and team members informed about time, thanks the person for waiting, and apologizes for delays.
EXCELLENCE: Committed to achieving the highest level of excellence in patient care, discovery and education. Demonstrates pride; practices humility; embraces greatness; encourages and praises others for work well done; learns to grow developing self and others personally and professionally; is accurate and strives for excellence; creates a positive and productive work climate.
Ability to establish and maintain effective working relationships across the Health System
Skill to effectively work with all levels of health system personnel including directors and physicians
Demonstrated advanced computer knowledge and experience with Microsoft Office
Ability to maintain a work pace appropriate to the workload
Must demonstrate customer service skills appropriate to the job
Excellent written and verbal communication skills in English
Must have a clear understanding of third-party regulatory requirements including Medicare, Medicaid, Managed Care and Commercial.
Prior EPIC experience
CPC, CPC-H, AHIMA Certified or equivalent
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Skill converting master files in to reports for departmental use
Skill in ad hoc technical report writing, complex analyses and data conversion into different formats
Knowledge of split claim billing
Knowledge of CPT, HCPCS and revenue codes
Ability to analyze situations, define problems, research and formulate conclusions and make sound recommendations
Knowledge of coding software tools to maintain current charging and billing guidelines
Position requires knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges.
Knowledge of the healthcare industry with an in-depth knowledge of coding, billing and hospital charging policies which is typically obtained through 5 years' experience in a hospital finance setting. In addition, position requires knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges.
5 years of Chargemaster Management experience in an Academic Hospital or comparable Health System
Certification in Epic
Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations
Knowledge of University and medical center organizations, policies, procedures and forms
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Legal Right to Work in the United States
Smoking and Tobacco Policy
Drug Free Environment
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at email@example.com or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.