Senior Charge Description Master Specialist - Full time, Day, Remote

Providence Health & Services; New Mexico; On-site; USD 44,482 - 69,059; Full time

Job summary

Providence Health & Services is looking for a Senior Charge Description Master Specialist in New Mexico. This entry-level role requires a Bachelor’s Degree and involves ensuring that the Chargemaster complies with coding regulations while training hospital staff on charge capture and processes.

The ideal candidate has at least 5 years of hospital Charge Master experience and familiarity with CDM tools. The position offers a collaborative work environment and commitment to Equal Opportunity principles.

Qualifications

• 5 years of hospital Charge Master experience with inpatient and outpatient billing.
• 3 years of operational performance improvement or project management experience.
• Knowledge of CPT, HCPCS, and ICD-10 coding principles.

Responsibilities

• Ensure consistency of Chargemaster with coding and billing regulations.
• Train hospital ministry staff regarding CDM Maintenance and charge capture.
• Document all policies and procedures regarding CDM Maintenance.

Skills

Charge Master experience

CDM Maintenance software

Hospital EMR experience

Operational performance improvement

Coding principles knowledge

Education

Bachelor’s Degree in Healthcare or related field

Tools

Craneware

Vitalware

nThrive

Epic E-HR

Job description

Senior Charge Description Master Specialist

As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as the liaison between the hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), researching CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. The CDM Specialist responds to hospital ministry inquiries regarding Chargemaster issues and is responsible for training hospital ministry staff regarding the CDM Maintenance process, coding updates, and charge capture improvement. The role is entry-level within the RICDM structure and works collaboratively with other CDM Leads, Senior Specialists, and CDM Specialists to research and resolve requests promptly. The CDM Specialist utilizes available department CDM tools and resources to ensure chargemaster compliance, coordinates the daily CDM maintenance workflow between the PSJH System and the ministries, and monitors the alignment of each ministry to the PSJH System’s standard CDM. The CDM Specialist documents all policies and procedures regarding CDM Maintenance and charge processes, reviews clinical department charges to ensure Charge Master and coding compliance, and coordinates with hospital ministry, IS, Clinical Informatics, and Integration personnel on technology projects impacting charge entry, dictionaries, and interfaces.

Required Qualifications

• Bachelor’s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or related field of study, or equivalent education/experience.
• Upon request: Driving may be necessary as part of this role. Caregivers must comply with all state laws and requirements for driving and provide proof of driver license and auto insurance upon request.
• Minimum 5 years of hospital Charge Master 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 ICD‑10 coding principles.
• 3 years of operational performance improvement and/or project management experience.
• 5 years of experience working with hospital EMR related to Charge Master, preferably Epic E‑HR.
• 3 years of experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.
• 5 years of experience with hospital charging practices.

Preferred Qualifications

• Coding experience.

Salary Range by Location

• AK: Anchorage – Min: $40.11, Max: $62.27
• AK: Kodiak, Seward, Valdez – Min: $41.81, Max: $64.91
• California: Humboldt – Min: $40.98, Max: $64.88
• California: All Northern California – Min: $46.91, Max: $72.82
• California: All Southern California – Min: $41.81, Max: $64.91
• California: Bakersfield – Min: $40.11, Max: $62.27
• Idaho – Min: $35.69, Max: $55.41
• Montana: Except Great Falls – Min: $32.29, Max: $50.13
• Montana: Great Falls – Min: $30.59, Max: $47.49
• New Mexico – Min: $32.29, Max: $50.13
• Nevada – Min: $41.81, Max: $64.91
• Oregon: Non‑Portland Service Area – Min: $37.39, Max: $58.05
• Oregon: Portland Service Area – Min: $40.11, Max: $62.27
• Texas – Min: $30.59, Max: $47.49
• Washington: Western – Min: $41.81, Max: $64.91
• Washington: Southwest – Olympia, Centralia & Below – Min: $40.11, Max: $62.27
• Washington: Tukwila – Min: $41.81, Max: $64.91
• Washington: Eastern – Min: $35.69, Max: $55.41
• Washington: South Eastern – Min: $37.39, Max: $58.05

Equal Opportunity Employer Statement

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 based on 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.