Charge Description Master Specialist - Full time, Day, Remote
About the role
The Charge Description Master Specialist - Full time, Day, Remote position ensures the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This role acts as a liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department) and is responsible for responding to ministry inquiries, training staff, and researching CDM maintenance requests.
Responsibilities
- Ensures Chargemaster (CDM) consistency with coding and billing regulations
- Acts as liaison between Hospital ministry and RI/CDM Department
- Researches and resolves CDM maintenance requests
- Trains Hospital ministry staff on CDM Maintenance process, coding updates, and charge capture improvement
- Reviews clinical department charges for compliance with Chargemaster and coding
- Coordinates with Hospital ministry, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces
Requirements
- Bachelor's Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent education/experience
- 3 years hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology
- Knowledge of CPT, HCPCS and ICD10 coding principles
- 3 years experience with Hospital charging practices
- 2 years experience working with EMR related to Chargemaster, preferably EPIC (EAP)
Qualifications
- Bachelor's Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent education/experience
- 3 years hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology
- Knowledge of CPT, HCPCS and ICD10 coding principles
- 3 years experience with Hospital charging practices
- 2 years experience working with EMR related to Chargemaster, preferably EPIC (EAP)
Skills
- Strong communication skills
- Ability to work independently and as part of a team
- Proficiency with CDM Maintenance software
- Understanding of CPT, HCPCS and ICD10 coding principles
- Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology
- Experience with EMR systems, particularly EPIC (EAP)
Benefits
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources, and much more.
Pay
The salary range for this position is determined based upon relevant job experience and other applicable factors. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors.
Schedule
This role is full-time and works on a day schedule. It is also remote.