Associate Director, Chargemaster Management

Vanderbilt University Medical Center • Nashville, TN • 1h ago

KEY RESPONSIBILITIES

Supervises the work of staff to implement changes in the CDM

Works with the VUMC Health IT staff to ensure all subsystems and charge capture applications are updated

Works with Managed Care Contracting, Revenue Integrity, Revenue Cycle, and Clinical Departments to research, design and implement charge code and charge structure improvements and participate in ongoing coordination and resolution of revenue issues

Conducts billing audits as considered necessary to rectify any potential issues with charging

Assists Revenue Cycle in CDM related and claim problem resolutions

Implements and maintains the EPIC EAP HB file and PB chargemaster for VUMC including annual coding updates, fee schedule adjustments and shell code designs for supplies and pharmacy

Follows instructions provided by senior leadership by carrying out assigned activities to promote an updated and compliant CDM for the capture of services, pharmaceuticals and supplies

Performs queries of data to assist in the resolution of billing and coding questions

Provides education on procedures to maintain charge and reconciliation processes that are compliant

Performs timely updates of the chargemaster in alignment with regulatory guidance

Mentors and trains new staff on learning clinical and billing system workflows and daily tasks related to the management of the chargemaster

Manages and performs all daily activities performed by the chargemaster specialist role to ensure requests for new charges and regulatory updates are completed accurately and timely

Supervises and monitors changes to regulatory requirements for the entire patient revenue cycle (i.e., CMS bulletins, transmittals, etc.) and updates the chargemaster timely

Performs queries of data to assist in the resolution of CDM related billing and coding questions

The responsibilities listed are a general overview of the position and additional duties may be assigned

TECHNICAL CAPABILITIES

REVENUE CYCLE (INTERMEDIATE): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

REGULATORY COMPLIANCE (INTERMEDIATE): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.

PROBLEM SOLVING (EXPERT): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Establishes key tactical and operational plans of a sub-function or multiple departments that has longer-term effect on results of the sub-function. Problem Solving/ Complexity of work: Integrate knowledge and in-depth analysis from several areas to resolve complex problems that are both technical and operational. Breadth of Knowledge: Applies comprehensive knowledge of professional/technical area and broad management knowledge of other professional areas to carry out objectives. * Team Interaction:Leads multiple departments with a function.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues. Delivering Excellent Services: - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance.Ensuring High Quality: - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met. - Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance. Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources.

Similar Jobs

Translational Research Manager

Vanderbilt University Medical Center • Nashville, TN • 5h ago

Management & Administrative

KEY RESPONSIBILITIES Oversees the activities of research teams through understanding system scope and project objectives, as well as the role and function of each team member. Provides leadership to support highly techni...

5h ago

Go to Apply

Service Leader

Chipotle Mexican Grill • Nashville, TN • 6h ago

Management & Administrative

CULTIVATE A BETTER WORLD Food served fast does not have to be a typical fast-food experience. Chipotle has always done things differently, both in and out of our restaurants. We are changing the face of fast food, starti...

6h ago

Go to Apply

Senior Software Engineering Manager, FrontEnd and API

Ford Motor Company • Nashville, TN • 12h ago

Management & Administrative

We made history and now we work to transform the future - for our customers, our communities and our families. You'll see your work on the road every day, helping people move freely and pursue their dreams. At Ford, you...

12h ago

Go to Apply

Integrated Services Analytics Product Manager

Ford Motor Company • Nashville, TN • 12h ago

Management & Administrative

12h ago

Go to Apply

Sr Account Manager

Honeywell • Nashville, TN • 19h ago

Management & Administrative

You'll manage all aspects of engagements with existing and new customers for our organization. You will build relationships and understand customer business in order to provide appropriate products or solutions. You will...

19h ago

Go to Apply

Customer Service Associate

Walgreens • Brentwood, TN • 20h ago

Management & Administrative

Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Customer Experience Enga...

20h ago

Go to Apply

Sales Manager, Ford Energy

Ford Motor Company • Nashville, TN • 20h ago

Management & Administrative

In this position... The Sales Manager is a dynamic, customer-facing role responsible for supporting and accelerating the growth of Ford Energy's grid-scale and commercial BESS business. Reporting directly to the Director...

20h ago

Go to Apply

Sales Manager (Part Time)

Carter's/OshKosh • Nashville, TN • 20h ago

Management & Administrative

If you are a CURRENT Carter's employee, do not apply via this external application. Search "Browse Jobs" in Workday to apply internally. Love what you do. Carter's Careers. As a Part Time Sales Manager, you will be the f...

20h ago

Go to Apply

Administrative Coordinator

HCA Healthcare • Nashville, TN • 23h ago

Management & Administrative

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Administrative Coordinator today w...

23h ago

Go to Apply

Senior Program Manager, OCI Event Operations & Scale

Oracle • Nashville, TN • 1d ago

Management & Administrative

Job Description Oracle Cloud Infrastructure (OCI) powers the world's most demanding workloads, helping organizations innovate with secure, high-performance cloud services. As OCI continues its rapid growth, we're investi...

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)