Chargemaster Specialist

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

The Chargemaster Specialist conducts a detailed review of hospital and clinic chargemaster line items to validate or recommend appropriate assignment of CPT/HCPCS, revenue code, and related billing or compliance concerns.
Provides and communicates accurate CDM coding recommendations.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Essential Functions:

Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. The Specialist may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the Specialist performance objectives as outlined by the incumbent’s immediate supervisor or manager.

• High School diploma or equivalent
• 5 years working in a position that manages the chargemaster in a facility environment, or similar education and experience
• CPC, CRC, CCS, RHIT preferred
• Strong written and verbal communication skills
• Strong knowledge of billing, compliance, and clinical service lines
• Detail-oriented with the ability to manage multiple projects in a fast-paced, results-oriented environment
• Ability to actively collaborate with cross-functional teams
• Exceptional customer service and follow-up skills

Knowledge, Skills & Abilities:

• Identifies invalid or inaccurate HCPCS, CPT®, Revenue Codes, pharmacy unit multipliers, and any other inconsistencies within the client chargemaster for facility services, clinics, swing beds, and professional fees
• Reviews facility supply items to evaluate billable characteristics and appropriate HCPCS codes
• Assists in evaluating appropriate professional fee assignment of Evaluation and Management codes
• Ability to handle stressful situations and work within tight deadlines
• Ability to multitask in a fast-paced environment
• Ability to research, understand, analyze and make recommendations concerning healthcare services
• Displays initiative and works independently with minimal supervision
• Demonstrates a consistent professional demeanor
• Tracks client projects and tasks

Physical Requirements and Demands:

Note: Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions as described.

Regular eye-hand coordination and manual dexterity are required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, incumbents are subject to sitting for prolonged periods. Infrequently, the incumbent must be able to lift and move material weighing up to 20 lbs. Incumbents may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the employee’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.