Charge Description Master Specialist - Full Time, Day, Remote

Providence • Lubbock, TX

3d • Remote

About The Position

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.

Requirements

• Bachelor's Degree in Healthcare, Sciences, Finance, Accounting or other related field of study, or equivalent education/experience
• 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
• 3 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 experience with Hospital charging practices
• 2 years experience working with EMR related to Chargemaster, preferably EPIC (EAP)

Nice To Haves

• 1-2 years Operational performance improvement and/or project management experience
• 1-2 years Coding experience

Responsibilities

• Ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided
• Act as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department)
• Research CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner
• Respond 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
• Work collaboratively with other CDM Leads, Sr. Specialists and CDM Specialists, to research and resolve requests in a timely manner
• Use available department CDM tools and resources to ensure chargemaster compliance
• Coordinate the daily CDM maintenance workflow between the PSJH System and the Ministries
• Monitor 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
• Review clinical department charges to ensure Chargemaster and coding compliance
• Coordinate with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security
• We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities
• Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 501-1,000 employees