Charge Description Master Specialist - Full time, Day, Remote

About the role

The Charge Description Master Specialist - Full time, Day, Remote position is a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team. This role ensures the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as a liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department).

Responsibilities

• Ensures Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
• Acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department).
• Researches CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner.
• Responds to Hospital ministry inquiries regarding Chargemaster issues.
• Trains Hospital ministry staff regarding the CDM Maintenance process, coding updates, and charge capture improvement.
• Uses available department CDM tools and resources to ensure chargemaster compliance.
• Coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries and monitors the alignment of the individual ministries to the PSJH System's standard CDM.
• Documents all policies and procedures regarding CDM Maintenance and charge process.
• Reviews clinical department charges to ensure Chargemaster and coding compliance.
• 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).

Preferred Qualifications

• 1-2 years Operational performance improvement and/or project management experience.
• 1-2 years Coding experience.

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 successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Schedule

This is a Full time, Day schedule position that is Remote.