Chargemaster Specialist

Perform a variety of tasks to monitor and communicate changes to coding and billing requirements from governmental and commercial payers that impact the CDM.

Perform a variety of tasks, in conjunction with clinical departments and related computer systems, to maintain an up-to-date, complete, accurate, and compliant CDM.

Perform a variety of tasks, in conjunction with clinical departments and related computer systems, to ensure revenue capture, reconciliation, and posting to the IDX Hospital Patient Account system.

May complete unit/department specific duties and expectations as outlined in department documents.

KNOWLEDGE, SKILLS, AND ABILITIES

Excellent computer skills, to include but not be limited to MicroSoft Excel, Word, are required.

Working knowledge of patient charge capture/entry/reconciliation, hospital claim billing, hospital operations, and multiple clinical/charging computer systems is strongly preferred.

Experience with GE's IDX system (BAR and/or HPA), Cerner Medical Records and Clinical systems, PeopleSoft Accounting and Purchasing systems and CMS's PCPrint Plus is strongly preferred.

Strong understanding of government and third party payer reimbursement methodologies is highly desirable.

Working knowledge or willingness to learn fundamentals of coding of CPT/HCPCS, ICD-9 and/or ICD-10, DRG, APC coding is highly desirable.

Possess strong research (including Internet), organizational, problem solving and analytical skills as well as be able to pay attention to detail and understand organizational as well as computer system processes.

Demonstrated ability to complete tasks involving a high degree of complexity which could result in a high risk of potential negative outcomes, i.e. reimbursement, compliance, etc., if not performed properly.

Professional presentation and an ability to work independently, set priorities and manage work accurately and timely.

Strong written and oral communication skills.

REQUIRED QUALIFICATIONS

Bachelor's degree in nursing, medical records, hospital administration, business, finance or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.

Three (3) years of experience in a healthcare field.

PREFERRED QUALIFICATIONS

Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H) certification by American Academy of Professional Coders (AAPC).

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.