Charge Description Master Specialist - Full Time, Day, Remote

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Charge Description Master Specialist – Full Time, Day, Remote

As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), and researches 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 is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The CDM Specialist is entry level RICDM position, and works collaboratively with other CDM Leads, Sr. Specialists and CDM Specialists, to research and resolve requests in a timely manner. The CDM Specialist uses available department CDM tools and resources to ensure chargemaster compliance. The CDM Specialist coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries and monitors the alignment of the individual ministries to the PSJH System's standard CDM. The CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process. The CDM Specialist reviews clinical department charges to ensure Chargemaster and coding compliance. The CDM Specialist also coordinates with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.

Required Qualifications

  • 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. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
  • 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).

Preferred Qualifications

  • 1-2 years Operational performance improvement and/or project management experience.
  • 1-2 years Coding experience.

Salary Range by Location

  • AK: Anchorage: Min: $35.66, Max: $55.37
  • AK: Kodiak, Seward, Valdez: Min: $37.17, Max: $57.71
  • California: Humboldt: Min: $37.17, Max: $57.71
  • California: All Northern California - Except Humboldt: Min: $41.70, Max: $64.75
  • California: All Southern California - Except Bakersfield: Min: $37.17, Max: $57.71
  • California: Bakersfield: Min: $35.66, Max: $55.37
  • Idaho: Min: $31.73, Max: $49.27
  • Montana: Except Great Falls: Min: $28.71, Max: $44.57
  • Montana: Great Falls: Min: $27.20, Max: $42.23
  • New Mexico: Min: $28.71, Max: $44.57
  • Oregon: Non-Portland Service Area: Min: $33.24, Max: $51.61
  • Oregon: Portland Service Area: Min: $35.66, Max: $55.37
  • Texas: Min: $27.20, Max: $42.23
  • Washington: Western - Except Tukwila: Min: $37.17, Max: $57.71
  • Washington: Southwest - Olympia, Centralia & Below: Min: $35.66, Max: $55.37
  • Washington: Tukwila: Min: $37.17, Max: $57.71
  • Washington: Eastern: Min: $31.73, Max: $49.27
  • Washington: South Eastern: Min: $33.24, Max: $51.61

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

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Location:
Los Angeles
Salary:
$80,000 - $100,000
Category:
Finance

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