[Hiring] Senior Charge Description Master Specialist @Providence

Role Description

As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.

• Acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department).
• 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.
• Acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner.
• Responsible for the training and skill development of the CDM Specialists to maximize available tools for 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.
• Responsible for training Specialists to evaluate department charge processes to improve charge capture 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, Nursing, Sciences, Finance, Accounting or other related field of study.
• Minimum 5 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.
• Three (3) years operational performance improvement and/or project management experience.
• Five (5) years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP.
• Three (3) years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
• Five (5) years experience with Hospital charging practices.

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.

Salary Range by Location

• AK: Anchorage: Min: $40.11, Max: $62.27
• AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
• California: Humboldt: Min: $40.98, Max: $64.88
• California: All Northern California - Except Humboldt: Min: $46.91, Max: $72.82
• California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
• California: Bakersfield: Min: $40.11, Max: $62.27
• Idaho: Min: $35.69, Max: $55.41
• Montana: Except Great Falls: Min: $32.29, Max: $50.13
• Montana: Great Falls: Min: $30.59, Max: $47.49
• New Mexico: Min: $32.29, Max: $50.13
• Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
• Oregon: Portland Service Area: Min: $40.11, Max: $62.27
• Texas: Min: $30.59, Max: $47.49
• Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
• Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
• Washington: Tukwila: Min: $41.81, Max: $64.91
• Washington: Eastern: Min: $35.69, Max: $55.41
• Washington: South Eastern: Min: $37.39, Max: $58.05