Up to $93k, Sr. Chargemaster Analyst needed for healthcare company in Irvine!
Location: Irvine
Posted on: October 1, 2024
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Job Description:
Our client (well-known healthcare company in Irvine) is seeking
a CDM Specialist to join our corporate Chargemaster team in Irvine,
CA to maintain the integrity of our corporate CDM.
Depending on experience, its 73K-93K salary range.
The CDM Specialist position performs the following:
? Ensures the Chargemaster (CDM) is consistent with coding and
billing regulations and accurately represents the services provided
by 15 hospitals.
? Responds to CDM maintenance requests and reviews inquiries from
departments, PFS, Compliance regarding CDM issues.
? Ensures accuracy of the Meditech Standard and Craneware Corporate
Toolkit.
? Responsible for the training of hospital departments regarding
compliant charge practice; the CDM maintenance process; annual
CPT/HCPC code updates; and charge capture improvement.
? Performs detailed, annual review of the CDM and CPT/HCPC code
changes and updates Meditech and Craneware systems.
? Collaborates with the clinical departments and enterprise
Information System team to ensure that the appropriate
ancillary/clinical modules are updated appropriately.
? Serves as subject matter expert related to charging and billing
issues and assists in developing and maintaining CDM related
policies and procedures.
Education:
Bachelor?s degree in Nursing, Accounting, Finance, Healthcare
Administration or Business Administration.
Experience:
? Minimum five years of hospital chargemaster experience, including
the use of CDM Maintenance software;
? Expert knowledge of inpatient and outpatient billing
requirements, coding guidelines and CMS Medicare reimbursement
methodology;
? Knowledge of CPT, HCPCs, Revenue Codes, and ICD9 coding
principles required;
? Thorough understanding of the relationship to coding, billing and
compliance in a hospital setting. License / Certification: RN or
Certified Coder a plus.
Preferred Position Qualifications:
? Experience and knowledge of Hospital charging practices and laws
and regulations pertaining to healthcare.
? Experience in Hospital operations, a general understanding of the
revenue cycle with emphasis on billing, coding, and charge
capture.
? Current knowledge of the Revenue cycle and specifically the flow
of charges in and across hospital billing systems.
? Experience researching and resolving complex billing and coding
issues.
? Excellent communication and interpersonal skills with the ability
to effectively interpret, communicate, and educate others.
? Superior communication and presentation skills with the ability
to present complex information to management.
? Ability to respond to complex inquiries in a professional and
efficient manner.
? Previous experience with Patient Accounting Systems (particularly
Meditech Client Server and Craneware Toolkit CMT, ORT.
? Intermediate skill level using Microsoft Excel, PowerPoint and
Word.
? Self-starter and detail oriented.
? Strong quantitative, analytical and organizational skills.
? Mathematical skills, including basic accounting.
? Must be able to work regular M-F 5/8 schedule.
? Travel 10-15% travel. Must drive/own transportation.
If you are interested, please email your resume to Angela at the
AppleOne Orange office for immediate consideration! We are an equal
employment opportunity employer and will consider all qualified
candidates without regard to disability or protected veteran
status.
Keywords: , Irvine , Up to $93k, Sr. Chargemaster Analyst needed for healthcare company in Irvine!, IT / Software / Systems , Irvine, California
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