Travel Pharmacist - $1,949 per week in Roseville, CA

Job Title: System Pharmacy Charge & Compliance Analyst Profession: System Pharmacy Charge & Compliance Analyst Specialty: System Pharmacy Charge & Compliance Analyst Duration: 13 months Shift: Day Shift Hours per Shift: 40 hours per week, Monday - Friday, 7:00 AM - 3:30 PM Experience: Three years of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance required. License: State Pharmacy Technician license required. Certifications: Preferred certification in Pharmaceutical Technician Board; preferred advanced certification (e.g., CHRI, CRCR, or 340B ACE). Must-Have: Active State Pharmacy Technician license. Description: Supports accurate and compliant medication charging, billing, and reimbursement across outpatient hospital departments. Ensures medication-related charges are complete, accurate, compliant, and aligned with regulatory requirements. Serves as a liaison between pharmacy operations, revenue cycle, compliance, and finance. Utilizes a deep understanding of pharmacy workflows, coding, charge capture, and payer requirements to prevent revenue loss and mitigate compliance risks. Reviews and reconciles medication charges in outpatient encounters. Validates NDC-to-HCPCS mapping, billable units, and appropriate modifiers according to guidelines. Ensures compliance with 340B, GPO, and WAC pricing policies. Collaborates with relevant teams to maintain audit readiness. Participates in internal and external audits. Identifies and corrects charge capture errors prior to billing to ensure accurate claims submission. Monitors UB-04 claim accuracy for outpatient medication billing. Ensures HCPCS and revenue codes align with clinical documentation. Collaborates with various departments to maintain compliant and optimized Charge Description Master entries for medications. Stays updated on regulatory guidance and requirements. Supports resolution of claim denials related to outpatient drug charges or billing errors. Performs root cause analysis of denied or underpaid medication claims and recommends preventive actions. Partners with relevant teams to adjust, rebill, or appeal denied medication claims when appropriate. Works with procurement and compounding teams to understand medication usage patterns and potential billing impacts. Serves as a subject matter expert during EMR upgrades and workflow changes. Assists in the design and maintenance of charge automation rules and EMR charge capture mapping. Educates staff on charge accuracy, compliance, and billing best practices. Tracks and reports charge correction trends and denial root causes. Identifies systemic issues and recommends process improvements to reduce errors. Performs other job-related duties as assigned. Commits to the safety and wellbeing of associates and patients. Requires that all associates receive all necessary vaccinations as a condition of employment. Medical and religious exemptions may apply. Participates in E-Verify.