El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward.
We are proud of our reputation in the community : One built on compassion, innovation, collaboration and delivering high-quality care.
Come join the team that makes this happen.
Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.
Scheduled Bi-Weekly Hours
Work Shift
Day : 8 hours
Job Description
Responsible for maintenance of El Camino Health's Charge Description Master ("CDM"). Accountable for providing direction, education, and orientation to clinical department end users on appropriate use of charges and charge reconciliation, often partnering with applicable I.
T. stakeholders on ensuring proper maintenance and use of Electronic Health Record ("E.H.R.") system (primarily Epic) for charge entry and charge reconciliation.
Provides clinical department managers and their charge capture staff with direction pursuant to applicable Centers of Medicare and Medicaid Services ("CMS") and industry standard billing regulations / guidelines to ensure compliant billing and accurate / complete charge capture.
This position provides specialized technical knowledge and support to management and staff in order to successfully meet goals related to the revenue cycle at El Camino Health.
Key Responsibilities
- Maintain CDM for all required elements, including but not limited to assignment of applicable CPT / HCPCS coding, UB-04 Revenue Codes, and appropriate pricing.
- Ensure that El Camino Health's CDM remains compliant with changing billing and coding updates made by CMS, American Medical Association ("AMA") and other government and commercial insurance payers, as applicable.
- Work closely with clinical / ancillary department charge capture staff and management to provide direction, guidance, recommendations, and education on appropriate use of CDM charges to capture charges for billable services, supplies, and medications provided during patient care, and related process development and / or improvement.
- Provide related education on charge reconciliation practices to clinical department charge capture staff.
- Work closely with various Information Technology Services ("I.T" or "iCare") application teams to ensure E.H.R. system (Epic) is updated with appropriate billing / charge codes in the CDM and front-end clinical applications / order entry systems as required to capture charges.
Qualifications
- High School Diploma or equivalent; Bachelor's Degree in Business or Healthcare-related field preferred.
- Five (5) years of combined experience working in hospital Chargemaster Description Master ("CDM") and Revenue Integrity.
- Minimum two (2) years of experience with physician / professional fee billing and / or revenue integrity preferred.
- Proficient in the use of MS Word and Excel. MS Access proficiency preferred.
- Outpatient hospital coding certification / proficiency (e.g. CPT-4 / HCPCS codes) is preferred.
- Strong data processing / analysis and critical thinking skills.
- Demonstrates conceptual understanding of systems (logic, tables, rules, and relationships).
- Highly collaborative and able to work cohesively in a dynamic team environment.
- Strong understanding of hospital's comprehensive revenue cycle.
- Strong communication and interpersonal skills; able to work well with all levels in the organization, including Senior Leadership.
License / Certification / Registration Requirements
None
Salary Range :
$41.43 - $62.15 USD Hourly
The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.
Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs.
Uses hands and fingers. - (Physical Requirements-United States of America)
An Equal Opportunity Employer :
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies.
El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law.
In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.
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