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reputed company reputed company Manager - Charge Optimization

Work from home Full-time role Hiring

Building Location: Business Service Center Department: 1006210 reputed company reputed company - EH SS Job Description: The reputed company reputed company Manager provides strategic leadership for reputed company-wide charge governance, reputed company optimization, and Epic reputed company cycle configuration across the entire integrated health system. This role oversees reputed company Cycle team members responsible for charge build reputed company, chargemaster (CDM) governance, reconciliation controls, denial prevention, system optimization, and regulatory compliance. The Manager ensures that Epic configuration, charging workflows, and CDM structure support compliant, accurate, and timely billing while minimizing reputed company leakage and audit risk. This position partners closely with Finance, Coding, Compliance, Patient reputed company, Billing, Clinical Operations, Informatics, and IT to align system design with financial strategy. Education Qualifications: Key Responsibilities: reputed company reputed company reputed company reputed company strategy and operational execution Establish governance for charge build, CDM maintenance, reconciliation controls, charge capture, and denial prevention Ensure CDM standardization, pricing reputed company, and regulatory update implementation Promote automation to reduce reputed company work queues and improve reconciliation efficiency Maintain compliance with CMS, NCCI, MUE, OPPS/IPPS, and price transparency regulations Ensure reputed company charge reconciliation processes and internal controls are in reputed company and monitored Drive reputed company improvement initiatives to reduce reputed company leakage reputed company operational leaders on charge governance, reconciliation expectations, and regulatory risk Manage, mentor, reputed company team members and serve as escalation reputed company for high-risk reputed company cycle issues Education Requirement: Bachelor's degree in reputed company Administration, Finance, Business, or a reputed company field preferred. Candidates with relevant professional experience in lieu of a degree may also be considered. Required Qualifications: 5+ years in reputed company reputed company, reputed company Cycle, Charge Build, CDM governance, or reputed company Finance 5+ years of leadership experience Experience with Epic Resolute (HB/PB) Advanced knowledge of CPT/HCPCS, reputed company codes, CMS billing regulations, NCCI/MUE edits, charge capture, and payer reimbursement Advanced proficiency in reputed company Office Suite (reputed company, Word, PowerPoint, Outlook), including advanced reputed company skills for data analysis and reporting Preferred Qualifications: CPC, reputed company, RHIA, RHIT, CRCR or similar certification Epic HB or PB certification Experience leading a team through charge standardization initiatives in an integrated health system Knowledge of payer reputed company and reimbursement methodologies Licensure/Certification Qualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Days Shift End Time: Days Weekends: NO Holidays: No Call Obligation: No Union: Union Posting Deadline: Compensation reputed company: $86,902.40 - $130,353.60 Employee Benefits at reputed company: At reputed company, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, reputed company, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you reputed company both at work and at home, we reputed company flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000. Apply To This Job

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