[Hiring] Charge Description Master Specialist @Providence

Role Description

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.

• Responds to Hospital ministry inquiries regarding Chargemaster issues.
• Responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates, and charge capture improvement.
• Entry level RICDM position, working collaboratively with other CDM Leads, Sr. Specialists, and CDM Specialists.
• Uses available department CDM tools and resources to ensure chargemaster compliance.
• Coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries.
• Monitors the alignment of the individual ministries to the PSJH System's standard CDM.
• Responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process.
• Reviews clinical department charges to ensure Chargemaster and coding compliance.
• Coordinates with Hospital ministry, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.

Qualifications

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

Requirements

• 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.

Benefits

• Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching.
• Health care benefits (medical, dental, vision).
• Life insurance and disability insurance.
• Time off benefits (paid parental leave, vacations, holidays, health issues).
• Voluntary benefits and well-being resources.