Job description

System Pharmacy Charge & Compliance AnalystSupports accurate and compliant medication charging, billing, and reimbursement across outpatient hospital Clients such as observation units, emergency Clients, outpatient surgery centers, and infusion clinics. Ensures medication-related charges are complete, accurate, compliant, and aligned with Centers for Medicare and Medicaid Services (CMS), health resources & services administration (HRSA), and payer regulations. Serves as the bridge between pharmacy operations, revenue cycle, compliance, and finance, using deep understanding of pharmacy workflows, coding, charge capture, and payer requirements to prevent revenue leakage and mitigate compliance risks.

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Effort: medium