Charge Description Master Specialist

🔥 14 hours ago

🐻 Alaska, California, +6 more states – Remote

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💵 $27 - $64 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Providence

Providence

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

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 the Chargemaster is consistent with coding and billing regulations and accurately represents services provided • Act as liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster Department • Research CDM maintenance requests for adherence to the PSJH System standard CDM • Respond to Hospital ministry inquiries regarding Chargemaster issues • Train Hospital ministry staff on CDM maintenance, coding updates, and charge capture improvement • Collaborate with CDM Leads, Senior Specialists, and CDM Specialists to research and resolve requests • Coordinate daily CDM maintenance workflow between the PSJH System and Ministries • Monitor ministry alignment with the PSJH System's standard CDM • Document policies and procedures regarding CDM 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

🎯 Requirements

• 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, inpatient and outpatient billing requirements (UB-04), and 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) • Compliance with all applicable state driving laws and requirements; proof of driver's license and auto insurance upon request

🏖️ Benefits

• Retirement 401(k) Savings Plan with employer matching • Medical, dental, and vision benefits • Life insurance • Disability insurance • Paid parental leave • Vacation time • Paid holidays • Paid time off for health issues • Voluntary benefits • Well-being resources • Inclusive workplace and equal opportunities for advancement

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