Charge Description Master Specialist

at  Providence

SENIOR CHARGE DESCRIPTION MASTER SPECIALIST - REMOTE. MOST STATE ELIGIBLE.

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.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

REQUIRED QUALIFICATIONS:

• Bachelor’s Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent education/experience.
• Associate’s Degree in Healthcare, Sciences, Finance, Accounting or other related field of study.
• Minimum 3 years of 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:

• Upon request: 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. See policy for additional information.
• 1-2 years Operational performance improvement and/or project management experience.
• 1-2 years Coding experience.

Please refer the Job description for details