CDM Specialist will assist CDM Manager in maintaining and analyzing the Charge Master (CDM) for charge component compliance and revenue cycle integrity; monitoring compliance with Federal and State guidelines, performing periodic audits and provide education of Charge Description Master.
Duties & Responsibilities:
Assist with the maintenance of CDM due to regulatory requirements as well as requests for services including but not limited to Charge Description, Revenue Code, CPT, modifiers and cost center for Adds, Changes and Inactivates to A/R system.
Works collaboratively with IS to support applications and their subsystems for order entry and subsequent charges for specific discipline; i.e. laboratory, imaging, cardiology.
Serves as a resource for staff throughout the health system involved in the revenue generation and charge master related issues and provides education on use of the Charge Master on the charging regulations.
Develop and implements strategic goals of standardization and consolidation of charge/revenue systems and structures.
Three to five (3-5) years’ experience in hospital Charge Master Maintenance preferably in a multi-hospital system.
Knowledge of HIPPA compliance requirements.
Working knowledge of CPT, HCPSCS Level II, Local Level III, ICD9 and ICD10 coding and associated clinical expertise.
Familiar with Epic Resolute functionality preferred.
Ability to multi task.
Strong verbal and written skills.
Demonstrate a high level of critical thinking skills.
Rational and logical decision making abilities.
Current RN License
Bachelor of Science in Nursing preferred
Competent with MS Office with strong emphasis/skilled on Excel