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 the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), researching CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and trains Hospital ministry staff on the CDM Maintenance process, coding updates, and charge capture improvement.

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 on the CDM Maintenance process, coding updates, and charge capture improvement.
• Works collaboratively with other CDM Leads, Sr. Specialists, and CDM Specialists to research and resolve requests in a timely manner.
• Uses available department CDM tools and resources to ensure chargemaster compliance.
• Collaborates with Hospital ministry, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.
• 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.
• Driving may be necessary as part of this role.
• 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

• Excellent communication skills.
• Strong problem-solving and analytical skills.
• Ability to work independently and as part of a team.
• Proficiency in CDM Maintenance software.
• Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
• Knowledge of CPT, HCPCS and ICD10 coding principles.
• 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 $See Posting - $See Posting. 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.