Charge Master Services Expert - Finance - Full Time

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.