Charge Description Master Specialist

🕒 May 18

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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 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

🎯 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 • 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

🏖️ Benefits

• 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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