Charge Description Master Specialist

🕒 Maio 18

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Providence

Providence

10.000+ funcionários

Fundada em 1856

💼 Consultoria

🛡️ Seguros

🏥 Saúde

Consulting • Insurance • Healthcare

Providence é um sistema de saúde sem fins lucrativos comprometido em fornecer uma ampla gama de serviços médicos, incluindo cuidados primários, atendimento de urgência, pediatria, cuidados de maternidade, tratamento de câncer e serviços especializados como neurocirurgia e ortopedia. Eles oferecem atendimento presencial e virtual por meio de clínicas e um aplicativo móvel, garantindo que os pacientes possam acessar cuidados de saúde de forma conveniente. Com uma missão enraizada em compaixão, dignidade e justiça, a Providence enfatiza o atendimento aos mais vulneráveis e busca a excelência na entrega de cuidados de saúde. Eles estão envolvidos em pesquisa e inovação, incluindo perfis genômicos e ensaios clínicos para melhorar os resultados dos pacientes.

Descrição

• Ensure the Chargemaster is consistent with coding and billing regulations and accurately represents services provided • Act as liaison between hospital ministries and the system Revenue Integrity/Chargemaster department • Research Chargemaster maintenance requests for adherence to the system standard • Respond to hospital ministry inquiries about Chargemaster issues • Train hospital ministry staff on the Chargemaster maintenance process, coding updates, and charge capture improvement • Collaborate with CDM Leads, Senior Specialists, and CDM Specialists to research and resolve requests • Use department Chargemaster tools and resources to ensure compliance • Coordinate daily Chargemaster maintenance workflow between the system and ministries • Monitor ministry alignment with the system standard Chargemaster • Document policies and procedures regarding Chargemaster maintenance and charge processes • Review clinical department charges for Chargemaster and coding compliance • Coordinate with hospital ministry, IS, Clinical Informatics, and Integration personnel on technology projects affecting charge entry, charge dictionaries, and charge interfaces

🎯 Requisitos

• Bachelor's Degree in Healthcare, Sciences, Finance, Accounting, or another related field, or equivalent education/experience • 3 years of hospital Chargemaster experience, including CDM Maintenance software • Experience with inpatient and outpatient billing requirements (UB-04) • Experience with CMS Medicare reimbursement methodology • Knowledge of CPT, HCPCS, and ICD-10 coding principles • 3 years of experience with hospital charging practices • 2 years of experience working with EMR related to Chargemaster, preferably EPIC (EAP) • Driving may be necessary; caregivers must comply with all state driving laws and requirements and provide proof of driver's license and auto insurance upon request • Preferred: 1–2 years of operational performance improvement and/or project management experience • Preferred: 1–2 years of coding experience

🏖️ Benefícios

• Retirement 401(k) Savings Plan with employer matching • Health care benefits: medical, dental, and vision • Life insurance • Disability insurance • Paid parental leave • Vacation time • Paid holidays • Paid time off for health issues • Voluntary benefits • Well-being resources • Inclusive workplace where diversity is valued • Equal opportunities for advancement

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