Marshall Health Network
Job Location : Point Pleasant,WV, USA
Posted on : 2024-11-11T18:27:38Z
Job Description :
Under the supervision of the Director of Revenue Cycle Management, is responsible for verifying appropriateness and accuracy of the revenue charging process by performing chargemaster (CDM) maintenance and other applicable duties as assigned.Major Responsibilities1. Assists in maintaining the CDM by incorporating new charges/services and updating existing charges.2. Builds new charges for any revenue producing department by reviewing, assigning and validating CPT, HCPCS, revenue codes and pricing3. Manages daily operations of the CDM and ensures that all CDM requests are processed and issues are resolved in an appropriate timeframe4. Works with Provider Practice administration on correct RVU assignment and reporting5. Ensures the ongoing accuracy and integrity of the CDM by making sure all charges are communicated and coordinated with the performing departments6. Ensures necessary changes to charge documents and charge capture processes are implemented7. Assists in revolving problems causing payer denials of failed edits as they involve the CDM8. Manages Price increase(s) in the CDM9. Is part of the price transparency compliance team and ensures CDM files meet all regulatory requirements10. Reviews account issues including charge audits, charge integrity, charge leakage, opportunities to improve revenue capture11. Responsible for reviewing and implementing applicable OPPS, IPPS and 340b updated requirements12. Works collaboratively with all revenue producing departments to ensure all charges are being captured and documented13. Responsible for CDM dashboard reporting14. Other duties and/or projects as assignedJob Requirements1. High school diploma, GED, or suitable equivalent.2. Bachelor's degree preferred3. CPC or CSS certificate preferred4. 3+ years' work experience in hospital HIM/Patient finance required5. Working knowledge of medical terminology, clinical terminology, and coding6. Proficient computer skills.7. Proficient with MS Office suites.8. Excellent communication skills, both verbal and written.9. Proficient mathematical skills.10. Outstanding people skills.11. Strong organizational skills.
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