13 days old

Chargemaster Senior Business Analyst - Rancho Cordova, CA or Telecommute

Rancho Cordova, CA 95670 Work Remotely
  • Job Code

Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities. Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide. If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) 


Primary Responsibilities:

  • Responsible for the maintenance, communication, and audit functions of a standard, system-focused Corporate Charge Description Master (CDM)
  • Deliver, monitor and maintain a consistent accurate CDM that is compliant with regulatory agencies
  • Provide advice and support to region/facility staff as needed
  • Work in a cooperative team environment to provide value to customers both internal and external to Optum 360
  • Maintain the Corporate and/or Local Standard CDM in compliance with regulatory agencies and applicable policies
  • Responsible for making CDM related decisions that require significant analysis and investigation with solutions requiring significant original thinking
  • Maintain current knowledge in applicable rules and regulations governing CDM and disseminate relevant information to the CDM team and other areas of the Revenue Cycle
  • Responsible for CMS Transmittal and Medi-Cal Bulletin distribution and/or implementation within established timeframe
  • Responsible for provision of CDM related reports and information as needed to internal and external customers, originating in A/R systems and/or Craneware
  • Management of relevant Inboxes and resolution of CDM requests and Inboxes within established timeframes
  • Proactively ensure coverage when out of office
  • Interact with leadership, department managers and regional facility staff members regarding alignment and adherence to corporate standard, regulatory compliance and reimbursement issues
  • Respond to customer inquiries and requests professionally and able to analyze revenue cycle questions and issues to resolution
  • Able to create and effectively deliver CDM-related educational materials
  • Work closely with assigned hospitals to ensure ongoing compliance with the Corporate Standard
  • Communicate alignment audit findings with the necessary parties and follow up to ensure identified issues are corrected
  • Take initiative to identify system and/or operational problems and participate in the development of solution for improvement to billing functions for client facilities
  • Keep Management informed when assigned responsibilities may not be completed within established timeframe
  • Serve as a resource to EHR/implementation project team members
  • Manage local and/or Standard CDM utilizing Craneware system as needed
  • Maintain alignment to Corporate Standard at a minimum of 99% compliance rate
  • Demonstrate flexibility and willingness to support the changing needs and priorities of the department and organization

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Posted: 2020-09-15 Expires: 2020-10-15

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Chargemaster Senior Business Analyst - Rancho Cordova, CA or Telecommute

UnitedHealth Group
Rancho Cordova, CA 95670

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