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Charge Description Master Coordinator

Houston Methodist
Katy, USA
Full-time
Mid · 4+ years experience
Discovered 1 months ago
excel

Full Job Posting

  • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
  • 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
  • CPC - Certified Professional Coder (AAPC) or
  • CPC-H - Certified Professional Coder - Hospital (AAPC) as CPC Medical Coding Certification
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Uniform: No
  • Scrubs: No
  • Business professional: Yes
  • Other (department approved): No

• On Call No

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

Job Category

Houston Methodist is an Equal Opportunity Employer.

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