Providence
Senior Charge Description Master Specialist
Providence, Irvine, California, United States, 92713
Senior Charge Description Master Specialist
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Senior Charge Description Master Specialist
role at
Providence .
Overview As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Department team, the Senior CDM Specialist ensures the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Specialist acts as liaison between hospital ministries and the PSJH System, researches maintenance requests, handles inquiries, trains staff, coordinates workflow, documents policies, and collaborates on technology projects impacting charge entry and interfaces.
Responsibilities
Ensure Chargemaster (CDM) consistency with coding and billing regulations.
Liaise between hospital ministries and PSJH System Revenue Integrity/Chargemaster.
Research CDM maintenance requests and adhere to PSJH System standard CDM.
Respond to ministry inquiries and train staff on CDM maintenance, coding updates, and charge capture improvement.
Resource other CDM Specialists, support research and resolution of requests, and provide training for skill development.
Coordinate daily CDM maintenance workflow and monitor alignment of ministries to PSJH System standard CDM.
Document policies and procedures for CDM maintenance and charge processes.
Collaborate with hospital ministries, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, dictionaries, and interfaces.
Required Qualifications
Bachelor’s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or related field.
Driving may be necessary; provide proof of driver license and auto insurance.
Minimum 5 years hospital chargemaster experience, including CDM maintenance software and inpatient/outpatient billing (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding principles.
3 years operational performance improvement and/or project management experience.
5 years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP.
3 years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
5 years experience with Hospital charging practices.
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 comprehensive benefits including a retirement 401(k) savings plan with employer matching, medical, dental, vision, life and disability insurance, time off benefits, voluntary benefits, and well‑being resources. Learn more at https://providence.jobs/benefits.
Location Location: Irvine, CA (Providence System Offices Discovery Park-Irvine).
Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to ensuring a workplace free from discrimination and harassment on the basis of race, color, gender, disability, veteran, religion, age, creed, national origin, sexual identity or expression, marital status, genetic information, or any other basis prohibited by law. We are dedicated to shaping an inclusive workforce and creating equal opportunities for advancement.
Requisition ID Requisition ID: 402476
#J-18808-Ljbffr
Senior Charge Description Master Specialist
role at
Providence .
Overview As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Department team, the Senior CDM Specialist ensures the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Specialist acts as liaison between hospital ministries and the PSJH System, researches maintenance requests, handles inquiries, trains staff, coordinates workflow, documents policies, and collaborates on technology projects impacting charge entry and interfaces.
Responsibilities
Ensure Chargemaster (CDM) consistency with coding and billing regulations.
Liaise between hospital ministries and PSJH System Revenue Integrity/Chargemaster.
Research CDM maintenance requests and adhere to PSJH System standard CDM.
Respond to ministry inquiries and train staff on CDM maintenance, coding updates, and charge capture improvement.
Resource other CDM Specialists, support research and resolution of requests, and provide training for skill development.
Coordinate daily CDM maintenance workflow and monitor alignment of ministries to PSJH System standard CDM.
Document policies and procedures for CDM maintenance and charge processes.
Collaborate with hospital ministries, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, dictionaries, and interfaces.
Required Qualifications
Bachelor’s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or related field.
Driving may be necessary; provide proof of driver license and auto insurance.
Minimum 5 years hospital chargemaster experience, including CDM maintenance software and inpatient/outpatient billing (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding principles.
3 years operational performance improvement and/or project management experience.
5 years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP.
3 years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
5 years experience with Hospital charging practices.
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 comprehensive benefits including a retirement 401(k) savings plan with employer matching, medical, dental, vision, life and disability insurance, time off benefits, voluntary benefits, and well‑being resources. Learn more at https://providence.jobs/benefits.
Location Location: Irvine, CA (Providence System Offices Discovery Park-Irvine).
Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to ensuring a workplace free from discrimination and harassment on the basis of race, color, gender, disability, veteran, religion, age, creed, national origin, sexual identity or expression, marital status, genetic information, or any other basis prohibited by law. We are dedicated to shaping an inclusive workforce and creating equal opportunities for advancement.
Requisition ID Requisition ID: 402476
#J-18808-Ljbffr