Providence Health & Services
Senior Charge Description Master Specialist *Remote*
Providence Health & Services, Billings Metropolitan Area, Montana, United States
Senior Charge Description Master Specialist (Remote)
As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Department, the Senior CDM Specialist ensures that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The role serves as a liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM) Department, researching CDM maintenance requests for adherence to the system’s standard CDM in a timely manner.
The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for training Hospital ministry staff on the CDM Maintenance process, coding updates, and charge capture improvement. The Specialist acts as a resource to other CDM Specialists in researching and resolving requests efficiently, and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance.
Coordinating the daily CDM maintenance workflow between the PSJH System and the Ministries, the Specialist monitors alignment with the PSJH System’s standard CDM. They document all policies and procedures regarding CDM Maintenance and charge process, and train Specialists to evaluate department charge processes to improve charge capture and coding compliance. The role 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, Nursing, Sciences, Finance, Accounting or related field.
10+ years of experience in Hospital chargedescription (including use of CDM Maintenance software, inpatient and outpatient billing requirements, UB-04, CMS Medicare reimbursement methodology, CPT, HCPCS and ICD‑10 coding principles).
5–7 years of experience with Hospital EMR systems related to Chargemaster, preferably Epic EAP.
3 years of operational performance improvement and/or project management experience.
3 years of experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
Strong communication skills and ability to train and mentor staff.
Valid driver’s license and proof of auto insurance if travel is required.
Preferred Qualifications
Coding experience.
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
Nevada
– Min: $41.81, Max: $64.91
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
Benefits Providence offers a comprehensive benefits package including a 401(k) retirement plan with employer matching, medical, dental, vision, life and disability insurance, paid parental leave, vacation and holiday time, and a variety of voluntary benefits and well‑being resources. Additional compensation may be available such as shift differentials, standby/on‑call pay, overtime, premiums, extra shift incentives, or bonus opportunities.
About Providence Providence is a well‑established health care organization serving over 50 hospitals, 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. With a tradition spanning more than 100 years, Providence focuses on advancing best practices and serving the most vulnerable in our communities.
Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to creating a workplace free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran status, religion, age, creed, national origin, sexual identity or expression, marital status, genetic information, or any other protected class. Diversity strengthens our organization, and we strive to provide equal opportunities for all employees.
Requisition ID:
402476
#J-18808-Ljbffr
The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for training Hospital ministry staff on the CDM Maintenance process, coding updates, and charge capture improvement. The Specialist acts as a resource to other CDM Specialists in researching and resolving requests efficiently, and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance.
Coordinating the daily CDM maintenance workflow between the PSJH System and the Ministries, the Specialist monitors alignment with the PSJH System’s standard CDM. They document all policies and procedures regarding CDM Maintenance and charge process, and train Specialists to evaluate department charge processes to improve charge capture and coding compliance. The role 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, Nursing, Sciences, Finance, Accounting or related field.
10+ years of experience in Hospital chargedescription (including use of CDM Maintenance software, inpatient and outpatient billing requirements, UB-04, CMS Medicare reimbursement methodology, CPT, HCPCS and ICD‑10 coding principles).
5–7 years of experience with Hospital EMR systems related to Chargemaster, preferably Epic EAP.
3 years of operational performance improvement and/or project management experience.
3 years of experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
Strong communication skills and ability to train and mentor staff.
Valid driver’s license and proof of auto insurance if travel is required.
Preferred Qualifications
Coding experience.
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
Nevada
– Min: $41.81, Max: $64.91
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
Benefits Providence offers a comprehensive benefits package including a 401(k) retirement plan with employer matching, medical, dental, vision, life and disability insurance, paid parental leave, vacation and holiday time, and a variety of voluntary benefits and well‑being resources. Additional compensation may be available such as shift differentials, standby/on‑call pay, overtime, premiums, extra shift incentives, or bonus opportunities.
About Providence Providence is a well‑established health care organization serving over 50 hospitals, 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. With a tradition spanning more than 100 years, Providence focuses on advancing best practices and serving the most vulnerable in our communities.
Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to creating a workplace free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran status, religion, age, creed, national origin, sexual identity or expression, marital status, genetic information, or any other protected class. Diversity strengthens our organization, and we strive to provide equal opportunities for all employees.
Requisition ID:
402476
#J-18808-Ljbffr