revenue integrity specialist

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

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