- HCA Healthcare (Nashville, TN)
- …charging activity including but not limited to the mapping between Facility chargemaster and Meditech Expanse, performance of concurrent charge reviews to support ... when standing up new service lines and/or procedures to develop chargemaster and charging practices utilizing approved standardization guidelines. Monitors charging… more
- CVS Health (Nashville, TN)
- …and ad-hoc-for risk assessment, budgeting, and forecasting, including hospital chargemaster analysis. + **Coordinate rate approvals and pricing strategies** for ... the most complex contractual arrangements. + **Communicate strategic insights** across products, segments, and markets to diverse stakeholders, turning data into decisions. **Required Qualifications** 5+ years demonstrated leadership and/or project management… more
- Norstella (Nashville, TN)
- …hands on with RWD (eg, open/closed claims, APLD, lab, EMR/EHR, hospital chargemaster , billing codes, etc.) *Advanced understanding of the life sciences industry and ... the US healthcare ecosystem. *Proven track record of successfully delivering client-facing projects and managing stakeholder expectations. *Expertise in SQL and advanced data analysis, with experience in predictive modeling and machine learning a plus.… more
- Norstella (Nashville, TN)
- …hands on with RWD (eg, open/closed claims, APLD, lab, EMR/EHR, hospital chargemaster , billing codes, etc.) *Understanding of life sciences industry and US healthcare ... ecosystem *Strong problem-solving and analytical skills, with attention to detail *Strong Excel and PowerPoint skills *Proficiency in querying relational databases (SQL experience preferred) *Ability to work collaboratively in a team environment, as well as… more
- HCA Healthcare (Nashville, TN)
- …add process for supply items, including coordination with Supply Revenue Analysts and Chargemaster and update of chargeability data in SICAM + Optimize the use of ... the SMART system by maximizing EDI, automated invoicing and automated ordering and demonstrate a comprehensive understanding of the SMART system + Oversee initial setup of new COIDs, including item, vendor, procedure code and GL master file data + Direct and… more
- Covenant Health Inc. (Knoxville, TN)
- …codes to obtain pricing and additions to computer systems. Responsible for SIM chargemaster for CMG. + Receives and interprets Medicare and other carrier billing ... guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be distributed to proper departments/staff. + Maintains Mail SharePoint, MLN Matters, LCD's, and all other written correspondence on a shared drive… more
- Highmark Health (Nashville, TN)
- …form reviews to check code transfer accuracy from the abstracting system and the chargemaster . (10%) + Is responsible for or works with external resources to create ... and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes… more
- Covenant Health Inc. (Knoxville, TN)
- …to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used. + Reviews medical record documentation to ensure ... existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form. + Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency. + Monitors claim rejections and… more