chargemaster analyst

CLS Health

<div>Description:

About CLS Health
CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!
Job Summary:
The Chargemaster Analyst is responsible for maintaining and updating the organization&rsquo;s chargemaster within the electronic medical record and related billing systems. This position ensures charge codes, descriptions, pricing, and billing components are accurate, compliant, and aligned with current coding and payer requirements. The role works closely with Revenue Cycle, Finance, Compliance, Operations, and IT to support accurate charge capture and reimbursement.
Key Responsibilities:<ul><li>
Update and maintain chargemaster files in the EMR and billing systems</li><li>
Review CPT, HCPCS, ICD 10, modifiers, revenue codes, and pricing for accuracy</li><li>
Implement annual code changes, fee updates, and new service builds</li><li>
Audit chargemaster data for missing, outdated, or duplicate entries</li><li>
Partner with departments to support charge capture and billing workflows</li><li>
Troubleshoot charge-related system issues and assist with testing</li><li>
Maintain documentation of all changes and support audit readiness</li></ul>
Requirements:
<ul><li>3 to 5 years of experience in chargemaster, revenue cycle, coding, or medical billing</li><li>
Experience working in EMR and billing systems</li><li>
Strong knowledge of CPT, HCPCS, ICD 10, modifiers, and reimbursement processes</li><li>
Strong attention to detail, analytical skills, and Excel proficiency</li><li>
Healthcare coding or revenue cycle certification preferred</li></ul></div>

Chargemaster Analyst

Providence

<div>Description
Providence is calling for Senior Charge Description Master Specialist - FT/Day
As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. 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.
Providence caregivers are not simply valued &ndash; they&rsquo;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.
Required Qualifications:
<ul><li>Bachelor&rsquo;s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or other related field of study, or equivalent educ/experience</li>
<li>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.</li>
<li>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.</li>
<li>3 years operational performance improvement and/or project management experience.</li>
<li>5 years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP</li>
<li>3 years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.</li>
<li>5 years experience with Hospital charging practices.</li>
</ul>Preferred Qualifications:
<ul><li>Coding experience.</li>
</ul>Salary Range by Location:
<ul><li>AK: Anchorage: Min: $40.11, Max: $62.27</li>
<li>AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91</li>
<li>California: Humboldt: Min: $40.98, Max: $64.88</li>
<li>California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82</li>
<li>California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91</li>
<li>California: Bakersfield: Min: $40.11, Max: $62.27</li>
<li>Idaho: Min: $35.69, Max: $55.41</li>
<li>Montana: Except Great Falls: Min: $32.29, Max: $50.13</li>
<li>Montana: Great Falls: Min: $30.59, Max: $47.49</li>
<li>New Mexico: Min: $32.29, Max: $50.13</li>
<li>Nevada: Min: $41.81, Max: $64.91</li>
<li>Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05</li>
<li>Oregon: Portland Service Area: Min: $40.11, Max: $62.27</li>
<li>Texas: Min: $30.59, Max: $47.49</li>
<li>Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Southwest - Olympia, Centralia &amp; Below: Min: $40.11, Max: $62.27</li>
<li>Washington: Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Eastern: Min: $35.69, Max: $55.41</li>
<li>Washington: South Eastern: Min: $37.39, Max: $58.05</li>
</ul>Why Join Providence?
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.
About Providence
At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
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.
Requsition ID: 420156
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
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: On-site
Pay Range: $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

Senior Charge Description Master Specialist - FT/Day

Parallon

<div><h5 class="jobSectionHeader">Introduction</h5>
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Billing Integrity Analyst Credentialed with Parallon you can be a part of an organization that is devoted to giving back!<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Billing Integrity Analyst Credentialed to help us reach our goals. Unlock your potential!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Billing Integrity Analyst (credentialed) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.
In this role you will:<ul><li>
Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.</li><li>
Identify charging, chargemaster coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues that are identified while working on edits.
</li><li>Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary
</li><li>Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed.</li><li>
Maintain billing education, attend webcasts and conference calls as required.</li></ul>
Qualifications:<ul><li>
Associate Degree or above; or healthcare license/certification required.</li><li>
Minimum 1 year directly related Healthcare experience or coding experience required.
</li><li>Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.</li><li>
Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.</li></ul>
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Billing Integrity Analyst Credentialed opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Billing Integrity Analyst Credentialed

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Chargemaster Analyst

Senior Charge Description Master Specialist - FT/Day

Senior Charge Description Master Specialist - FT/Day

Senior Charge Description Master Specialist - FT/Day

Senior Charge Description Master Specialist - FT/Day

Senior Charge Description Master Specialist - FT/Day

Billing Integrity Analyst Credentialed