About The Position

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. The Chargemaster Specialist conducts a detailed review of hospital and clinic chargemaster line items to validate or recommend appropriate assignment of CPT/HCPCS, revenue code, and related billing or compliance concerns. Provides and communicates accurate CDM coding recommendations.

Requirements

  • High School diploma or equivalent
  • 5 years working in a position that manages the chargemaster in a facility environment, or similar education and experience
  • Strong written and verbal communication skills
  • Strong knowledge of billing, compliance, and clinical service lines
  • Detail-oriented with the ability to manage multiple projects in a fast-paced, results-oriented environment
  • Ability to actively collaborate with cross-functional teams
  • Exceptional customer service and follow-up skills
  • Ability to handle stressful situations and work within tight deadlines
  • Ability to multitask in a fast-paced environment
  • Ability to research, understand, analyze and make recommendations concerning healthcare services
  • Displays initiative and works independently with minimal supervision
  • Demonstrates a consistent professional demeanor
  • Tracks client projects and tasks
  • Regular eye-hand coordination and manual dexterity are required to operate office equipment.
  • The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
  • At times, incumbents are subject to sitting for prolonged periods.
  • Infrequently, the incumbent must be able to lift and move material weighing up to 20 lbs.
  • Incumbents may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

Nice To Haves

  • CPC, CRC, CCS, RHIT preferred

Responsibilities

  • Identifies invalid or inaccurate HCPCS, CPT®, Revenue Codes, pharmacy unit multipliers, and any other inconsistencies within the client chargemaster for facility services, clinics, swing beds, and professional fees
  • Reviews facility supply items to evaluate billable characteristics and appropriate HCPCS codes
  • Assists in evaluating appropriate professional fee assignment of Evaluation and Management codes

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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