Charge Description Master Coordinator

Houstonmethodistcareers; Katy, Northern (TX, KY); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Houston Methodist is seeking a CDM Coordinator to support revenue cycle initiatives by maintaining the Charge Description Master, training departments on charge entry, and ensuring alignment with CMS and federal guidelines across all services. The role also involves updating the CDM within Epic and coordinating with departments to implement changes.

The candidate will have extensive APC/CDM experience, hospital coding knowledge, and data analysis skills to monitor charges from inception to

Qualifications

• CDM APC experience and auditing knowledge required.
• Experience managing large healthcare financial data.
• Hospitals coding and charging knowledge with federal regs.
• Clinical experience preferred.
• Training experience preferred.
• Data mining / database software certs preferred.
• Healthcare accounts receivable experience preferred.
• Epic Healthcare system experience preferred.

Responsibilities

• Maintain CDM and document charge-reconciliation within departments.
• Collaborate with APC coordinators to resolve CDM billing issues.
• Train departments on charge rules and CMS guidelines.
• Coordinate changes to departments, cost centers, or bed requests in Epic.

Skills

English proficiency

Data analysis

Communication

Mainframe systems

Financial software

Excel

Access

PowerPoint

MS Word

Charge entry

Education

High School diploma or equivalent

Tools

Epic Systems

MS Office

Job description

At Houston Methodist, the Charge Description Master (CDM) Coordinator is responsible for ensuring the support of revenue cycle initiatives associated with patient charging. It is to maintain the Charge Description Master (CDM), conduct department training and education for all charges for services. Responsible for new and updated requests to Departments and rooms and beds for all Houston Methodist. Communicating appropriate rules and practices of local and Federal Agencies and how they affect the charging and CDM processes. Responsible for keeping up to date with the correlation between the CDM and APC charges and its affect to the Revenue Cycle and its policy and procedures.

FLSA STATUS

Exempt

QUALIFICATIONS

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

EXPERIENCE

• 4 years APC experience in the CDM/auditing arena required
• 3 years experience managing financial data in a large multidisciplinary healthcare system
• 4 years experience in hospital coding, charging and extensive knowledge of Federal regulations
• 2 years clinical experience preferred
• Training experience is preferred
• Software application certifications related to data mining, database management, or interface support preferred
• 4 years of healthcare accounts receivable management experience preferred
• Epic Healthcare system experience preferred

LICENSES AND CERTIFICATIONS

Preferred

• CPC - Certified Professional Coder (AAPC) or
• CPC-H - Certified Professional Coder - Hospital (AAPC) as CPC Medical Coding Certification

SKILLS AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
• Extensive computer work is required in support of the system updates performed in the revenue cycle and each revenue generating department.
• Must have the ability to effectively leverage technology to manage and analyze data from multiple data sources.
• Highly proficient in mainframe systems, networking knowledge, financial software, (Excel, Access, PowerPoint) as well as word processing software (Word), MS Office Outlook.
• Ability to complete and communicate basic financial and statistical analyses.
• Detail oriented, self-motivator, ability to analyze data.

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Maintains master online reference list of organizational stakeholders involved in charge entry to view internal controls on charge reconciliation, document any significant revenue impact issues and to assist in the efficient resolution of those issues.
• Responsible for working with APC Coordinators to resolve CDM billing issues relating to those changes to the respective charging departments.

SERVICE ESSENTIAL FUNCTIONS

• Works in conjunction with IT Ancillary system staff to maintain a consistent and accurate Charge Description Master within each Ancillary charging system.
• Responsible for attending committee meetings to ensure accurate transference of information to key department members.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Works with the Billing department to address their claims and billing concerns. This involves knowledge of non-Medicare carriers and overall knowledge of correct charging practices as well as adhering to the appropriate CMS coding guidelines rules and regulations.
• Responsible for creating or making changes to departments, cost centers, or bed requests within Epic. Works closely with IT in the building and testing of these requests within set time lines.

FINANCE ESSENTIAL FUNCTIONS

• Responsible for working with Nursing & Ancillary departments, coordinate all aspects of the charge capture and charge reconciliation in tracking charges from inception to billing.
• Responsible for training and communicating to all departments’ of rules and practices for both local and Federal agencies regarding procedures/charges.
• Responsible for staying up to date on the extensive processes of the Revenue Cycle.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Responsible for participating in functions of Departments and its support for corporate maintenance of the CDM.
• Responsible for maintaining up to date knowledge of CPTs, and various resource websites used to support CDM and billing compliance issues.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform: No
• Scrubs: No
• Business professional: Yes
• Other (department approved): No

ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**

**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

QUALIFICATIONS

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

EXPERIENCE

• 4 years APC experience in the CDM/auditing arena required
• 3 years experience managing financial data in a large multidisciplinary healthcare system
• 4 years experience in hospital coding, charging and extensive knowledge of Federal regulations
• 2 years clinical experience preferred
• Training experience is preferred
• Software application certifications related to data mining, database management, or interface support preferred
• 4 years of healthcare accounts receivable management experience preferred
• Epic Healthcare system experience preferred

LICENSES AND CERTIFICATIONS

Preferred

• CPC - Certified Professional Coder (AAPC) or
• CPC-H - Certified Professional Coder - Hospital (AAPC) as CPC Medical Coding Certification