Providence Health & Services
Senior Charge Description Master Specialist *Remote*
Providence Health & Services, Irvine, California, United States, 92713
Senior Charge Description Master Specialist *Remote*
2 days ago Be among the first 25 applicants
Description Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Department team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior 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 Senior 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 Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance. The Senior 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 Senior CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process; and is responsible for training Specialists to evaluate department charge processes to improve charge capture and coding compliance. The Senior CDM Specialist 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 other related field of study.
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.
Min 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.
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
About Providence Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requisition ID: 402476
Company: Providence Jobs
Job Category: Patient Financial Services
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4001 SS RC CHARGE DECR MSTR
Workplace Type: On-site
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Description Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Department team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior 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 Senior 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 Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance. The Senior 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 Senior CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process; and is responsible for training Specialists to evaluate department charge processes to improve charge capture and coding compliance. The Senior CDM Specialist 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 other related field of study.
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.
Min 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.
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
About Providence Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requisition ID: 402476
Company: Providence Jobs
Job Category: Patient Financial Services
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4001 SS RC CHARGE DECR MSTR
Workplace Type: On-site
#J-18808-Ljbffr