CHARGEMASTER COORDINATOR V (REGIONAL) #60360 (KAUAI-KR461)

Full Time
HHSC Kaua'i Region
Posted on July 23, 2024

JOB DESCRIPTION

DATE POSTED: July 23, 2024 ***Updated on August 15, 2024***

POSITION TITLE: CHARGEMASTER COORDINATOR V (REGIONAL)

STATUS: Full-Time | Permanent (1.0 FTE)

SALARY: $5,918 per month | SR24 | BU13

LOCATION: This is a regional position that is located in the Patient Financial Services (PFS) department of the Hawai’i Health Systems Corporation (HHSC) Kaua’i Region, a public benefit corporation of the State of Hawai’i. HHSC Kaua’i Region consists of Kaua’i Veterans Memorial Hospital (KVMH) and Samuel Mahelona Memorial Hospital (SMMH), both critical access hospitals; The Kaua’i Region Clinics; and its affiliates.

The PFS department is responsible for a variety of fiscal services including patient accounting, admitting/registration (Patient Access – Hospital), financial counseling, payer negotiations, price transparency, charge description master (CDM) management, denial management, Health Information Management (HIM), and financial informatics. The PFS department coordinates activities related to the planning, implementing, and maintaining of all functions pertinent to the PFS areas.

JOB FUNCTIONS: The Chargemaster Coordinator V (Regional) is responsible for the management of the region’s CDM, the key to maintaining revenue integrity. This position works closely with clinical services, finance leadership, and PFS to review and ensure the accuracy and completeness of all billable services in the Kaua’i Region and its affiliates; manages revenue codes and our pricing structure in order to remain competitive and negotiate higher rates from private payers. The Chargemaster Coordinator V (Regional) must be able to maintain open communication with all departments, including providers, and collaborate with PFS and HIM departments to ensure that all clinical documentation and coding practices align with the charge master, as well as educate and update staff of any pricing and billing processes. The Chargemaster Coordinator V (Regional) will also review the CDM for continuous improvement and workflow to ensure appropriate charge capture for all services and items provided to the patient. Other duties include assisting in strategic planning, staffing issues, budget, and cost analysis; logging and managing all Revenue Cycle related Service Requests through Cerner AMS; and performing other duties as assigned.

This Chargemaster Coordinator V (Regional) may work remotely, may require travel to and from all facilities within Kaua’i Region. Position, and may be required to work long hours, work all shifts, weekends, and holidays as directed by the manager.

This position reports to the Regional Revenue Cycle Officer (RRCO), position number 109768, or its designee.

MINIMUM QUALIFICATION REQUIREMENTS

To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experience may not be gained concurrently. In addition, qualifying work experiences are credited based on a 40-hour workweek. All applicants are required to provide evidence of all applicable education, licenses, and certifications.

Education: Graduation from an accredited four (4) year college or university with a bachelor’s degree.

Licensure: Valid, current State of Hawai’i type# 3 driver’s license preferred.

Certification: None required. Active membership in Healthcare Financial Management Association (HFMA) or related professional organization is highly desirable.

Experience: Three (3) years of progressively responsible professional work experience in accounting, business services or finance in healthcare operations responsible for maintaining and ensuring accuracy of the Charge Master/Service Catalog and/or healthcare billing and/or coding experience. Working knowledge of internal classification of diseases, 9th edition, clinical modification (ICD-9- CM), physician’s current procedural terminology (CPT), healthcare common procedure coding system (HCPCS), diagnosis related groups (DRG)s, and universal billing form (UB-04) revenue codes.

DESIRED SKILLS

Knowledge of: current regulatory coverage guidelines, billing and reimbursement issues from Medicare, Medicaid and other major third party payers; data flow from the service department to patient billing relating to the CDMs/SC; and understand the applicability of the CDM fields in the billing system and the proper use and establishment of those fields; principles and practices of supervision; governmental organization and functions; and public relations.

Ability to: Ensure the CDMs/SC established are valid, up to date for the services provided and billable based on coverage guidelines with the major third party payers; implement HHSC’s Charge Master policies and procedures within the region; ability to work effectively with a variety of personnel in a team environment; and prepare clear and concise reports; analyze, evaluate and draw sound conclusions from available information; plan, organize and direct the work of a charge master program; develop, revise and instill consistency and standardization within the EMR; obtain, analyze and evaluate facts; analyze facility needs and provide service to fulfill those needs; interpret pertinent laws, rules and regulations; prepare clear and concise correspondence and reports; draft policies and procedures; maintain cooperative and effective relationship with public officers, departmental personnel and members of the general public; and make sound administrative policy decisions; analyze and resolve problems that affect claim submission process; ability to financially analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis.

Requires competitive skills in analysis, patient accounting, measurement, and communication. Excellent computer and financial management skills.

Leadership skills to motive cross-department teams’ performance toward excellence.

Must have thorough working knowledge in the areas of patient registration, medical records, accounts receivables (AR), and cost report programs; knowledge of third party requirements, Medicare/Medicaid regulations, and electronic filing of claims; excellent customer service skills required to deal with internal and external customers, departments and facilities, associates and physicians, various committees, vendors and governmental agencies; ability to meet deadlines.

Must have high level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an efficient and timely manner while prioritizing effectively in a team environment.

WORKING CONDITIONS / HEALTH & PHYSICAL REQUIREMENTS

Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation.

COMPANY DESCRIPTION

Join our dynamic team at HHSC Kaua’i Region, where we are proud to offer a comprehensive range of healthcare services at our critical access hospitals – KVMH and SMMH. From full-service emergency departments to specialized surgeries, family and internal medicine, intensive care, obstetrics and gynecology, behavioral health, pediatrics, and a range of ancillary services, and more, we are dedicated to providing quality, compassionate care to our community. With locations across Kaua’i, including outpatient clinics and urgent care facilities, we strive to make healthcare accessible to all. As part of the Hawai’i Health Systems Corporation, we uphold values of excellence, transparency, accountability, integrity, and teamwork. Join us as we work together to deliver exceptional care and make a positive impact in the lives of those we serve.

BENEFITS

Join our ‘ohana and experience a comprehensive benefits package that goes beyond just compensation. Our organization is dedicated to nurturing the well-being of our colleagues and the community we serve. For eligible employes, we offer a selection of health plans, including medical, prescription, dental, and vision coverage. Secure your future with automatic enrollment to our Employees’ Retirement System plan, and take advantage of the IRC 457 deferred compensation plan for additional financial peace of mind. We understand life’s uncertainties, which is why we provide fully paid term life insurance, workman’s compensation, and temporary disability insurance. Opt for the Island Flex – Flexible Spending Accounts to manage healthcare and dependent care expenses efficiently. Our Employee Assistance Program is designed to support you and your family through any of life’s challenges. Enjoy time off with thirteen (13) days (104 hours) paid holidays, extending to fourteen (14) days (112 hours) during election years, and a generous allotment of twenty-one (21) paid vacation and sick days, or 168 hours, annually. We also support your continued growth and furthering your education through our Student Loan Repayment & Scholarship Programs. Discover more about how we care for our team at our benefits page.

*NOTE: The compensation for paid holidays, vacation time and sick leave is based on a full-time equivalent (FTE) status for 8-hour workdays. If an employee’s FTE status is less than 1.0, the accrual of these benefits will be adjusted accordingly.

*CB

To apply for this job email your details to cguirao@hhsc.org

HOW TO APPLY: Please complete our HHSC Employment Application even if you are submitting your resume. Once complete, you may either email your application and any other relevant documents directly to Kauai Recruitment at kauaijobs@hhsc.org or mail them to our address listed below with an attention to our Human Resources Department.

For any inquiries, please contact us at:

HHSC- Kauai Region Human Resources 4643 Waimea Canyon Drive, Waimea, HI 96796 KVMH: (808)338-9425 | SMMH: (808)823-4116 KVMH Fax: (808)338-9286 | SMMH Fax: (808)823-4179 Email: kauaijobs@hhsc.org

Recruitment posting are continuous until needs are met
All job vacancies will be posted for a minimum of ten (10) calendar days
We are an Equal Opportunity Employer

QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.

MERIT OR CIVIL SERVICE SYSTEM: You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted. Applications will be kept active for six (6) months.

CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be eligible to work in the U.S. and at the time of appointment will be required to become a Hawaii resident within a reasonable time from hire.

VETERAN’S PREFERENCE: If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service.

PHYSICAL/MENTAL REQUIREMENTS: Applicants must be able to physically and mentally perform efficiently the duties of the position. Qualified applicants with disabilities who can perform the essential functions of the advertised position are encouraged to apply. The Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodation should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship.

PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be conditioned on the results of a complete physical examination, which includes a drug screening. For certain job categories, applicants may be referred to an HHSC-designated physician, rather than the applicant’s personal physician of choice. The cost for all physical examinations, except the cost for the drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation. The Hawaii Health Systems Corporation shall bear the cost of the drug screening.

CRIMINAL/BACKGROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically and any associated costs may be borne by the applicant. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks.

HOW TO APPLY: Please complete and submit our HHSC Employment Application. Only applicants that have been through a Human Resources (HR) applicant screening process will be considered for an interview with the hiring manager. Applications for announcements with a deadline date must be on file no later than the last day to file applications. Applications received for positions with "Continuous Recruitment Until Needs are Met" will be accepted as long as there are vacancies. Inactive/filled announcements will be taken off the HHSC website.

STEPS TO AN ADMINISTRATIVE REVIEW, SUBSEQUENT APPEALS: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include 1. The job title(s) and recruitment number(s), 2. the specific reason(s) you are requesting the review noting if there is a statute or rule violation, and 3. any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Complaint and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board.

Contact Information

The Kauai Regional Office of the Hawaii Health Systems Corporation is located at Kauai Veterans Memorial Hospital, 4643 Waimea Canyon Road, Waimea, HI 96796. For employment opportunities, please click on this link. For additional information, call SMMH:(808)823-4116 or KVMH:(808)338-9425 or e-mail kauaijobs@hhsc.org

PERSONS WITH DISABILITIES MAY CONTACT THE RECRUITMENT OFFICER AT SMMH:(808)823-4116 or KVMH:(808)338-9425 (TTD/TTY) OR EMAIL kauaijobs@hhsc.org TO DISCUSS SPECIAL NEEDS IN APPLYING.