Charge Description Master Specialist

🕒 May 11

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Logo of Providence

Providence

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

Healthcare Insurance

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. • Act as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department). • Research CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. • Respond to Hospital ministry inquiries regarding Chargemaster issues and train Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. • Work collaboratively with other CDM Leads, Sr. Specialists and CDM Specialists, to research and resolve requests in a timely manner. • Use available department CDM tools and resources to ensure chargemaster compliance. • Coordinate the daily CDM maintenance workflow between the PSJH System and the Ministries.

🎯 Requirements

• Bachelor's Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent educ/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).

🏖️ Benefits

• health care benefits (medical, dental, vision) • life insurance • disability insurance • retirement 401(k) Savings Plan with employer matching • time off benefits (paid parental leave, vacations, holidays, health issues) • voluntary benefits • well-being resources

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