Description

AtlantiCare Regional Medical Center

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


Description

Charge Master Analyst/Expert

• Education: Bachelor's degree in healthcare,
• Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.
• PBO Expert Expertise: Proven mastery of the PBO (Patient Business Office) platform workflows, including the interrelation between clinical triggers, charge routers, and final claim generation.
• Specialized Knowledge: Expert-level understanding of Behavioral Health, ASC-covered procedures, and acute care reimbursement models.
• Experience: 5 years in CDM maintenance and Medicare billing. Expert proficiency in CDM tools (e.g., Panacea).

POSITION SUMMARY

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This role is a key driver of financial health, responsible for minimizing revenue leakage and ensuring 24/7 regulatory compliance. You will utilize advanced analytics to oversee the resolution of billing bottlenecks (DNFB, CEWL, EBEW) and ensure that the PBO platform remains a high-performing, compliant engine for all facility and professional charges.

Key Performance Indicators (KPIs):

• Clean Claim Velocity: Maintain a 48-hour release target by eliminating PBO charge router edits and CDM-related pre-bill holds.
• DNFB & CEWL Reduction: Maintain unbilled account volumes within top-quartile industry benchmarks through aggressive root cause resolution.
• Charge Integrity Rate: Achieve >99% accuracy in annual audits of the PBO-to-Clinical system mapping.
• Audit Defensibility: Maintain a 100% compliance rate with government and commercial audit deadlines

QUALIFICATIONS

EDUCATION:

• Bachelor's degree in healthcare,

Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment

Total Rewards at AtlantiCare

At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:

Generous Paid Time Off (PTO)

Medical, Prescription Drug, Dental & Vision Insurance

Retirement Plans with employer contributions

Short-Term & Long-Term Disability Coverage

Life & Accidental Death & Dismemberment Insurance

Tuition Reimbursement to support your educational goals

Flexible Spending Accounts (FSAs) for healthcare and dependent care

Wellness Programs to help you thrive

Voluntary Benefits, including Pet Insurance and more

Benefits offerings may vary based on position and are subject to eligibility requirements.

Join a team that values your well-being and invests in your future.


Job Category
Finance

Hours Per Week
40

Weekends Required?
Yes

Holidays Required?
No

Shift
Varies

Posititon Status
Full-Time


Job Details

Pay Range
$60472 - $90806

Pay Transparency

In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to Pay Transparency Law; in the impacted states; that have mandated the employers to list the salary ranges in Job advertisements or postings for job opportunities and Job promotions.

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