RN, Auditor Patient Financial Services
Company: Memorial Health Services
Location: Carson
Posted on: May 15, 2022
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Job Description:
Purpose Statement / Position Summary CDM Specialist will assist
CDM Manager in maintaining and analyzing the Charge Master (CDM)
for charge component compliance and revenue cycle integrity;
monitoring compliance with Federal and State guidelines, performing
periodic audits and provide education of Charge Description Master.
Essential Functions and Responsibilities of the Job Assist with the
maintenance of CDM due to regulatory requirements as well as
requests for services including but not limited to Charge
Description, Revenue Code, CPT, modifiers and cost center for Adds,
Changes and Inactivates to A/R system. Works collaboratively with
IS to support applications and their subsystems for order entry and
subsequent charges for specific discipline; i.e. laboratory,
imaging, cardiology. Serves as a resource for staff throughout the
health system involved in the revenue generation and charge master
related issues and provides education on use of the Charge Master
on the charging regulations. Develop and implements strategic goals
of standardization and consolidation of charge/revenue systems and
structures. Be at work and be on time Follow company policies,
procedures and directives Interact in a positive and constructive
manner Prioritize and multitas Essential Job Outcomes Constructs
charges in a timely manner to facilitate timely revenue cycle
process. Resolves complex charging issues. Assures Charge
Navigators are optimal and user friendly with CPT details for
accurate charging. Collaborates with Ancillary systems and assigns
appropriate CDM's for ordered procedures/tests. Educates
Ancillary/Clinical departments regarding charge selection for
service provided. Assists with Supply Chain Management in
determining appropriate charge for chargeable item. "Other duties
as assigned" Experience Three to five years' experience in hospital
Charge Master Maintenance preferably in a multi-hospital system.
Knowledge of HIPPA compliance requirements. Working knowledge of
CPT, HCPSCS Level II, Local Level III, ICD9 and ICD10 coding and
associated clinical expertise. Familiar with Epic Resolute
functionality preferred. Ability to multi task. Strong verbal and
written skills. Demonstrate a high level of critical thinking
skills. Rational and logical decision making abilities. Education
Current RN License Bachelor of Science in Nursing preferred
Competent with MS Office with strong emphasis/skilled on Excel.
Keywords: Memorial Health Services, Carson , RN, Auditor Patient Financial Services, Healthcare , Carson, California
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