Up to $93k, Sr. Chargemaster Analyst needed for healthcare company in Irvine!

Location: Irvine
Posted on: November 18, 2024

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.

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