Department
The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below.
Revenue Cycle
Job Summary
This position will deliver, audit and maintain a consistent and accurate hospital Charge Description Master (CDM) that is compliant with regulatory agencies while providing support in the development and implementation of best practice policies and procedures related to charge master maintenance, and works closely with department Directors, Managers and charge entry staff to develop and maintain charging processes that support compliance.
Required Qualifications
- Require Certified Coding Professional certification from the American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) within one (1) year of position attainment.
- Require four (4) years of experience with hospital billing and coding systems, reimbursement and charging.
- Require bachelor’s degree in business, health information or related field. An associate's degree and two years of directly related work experience may be considered in lieu of the required degree.
Preferred Qualifications
- Prefer demonstrated ability to establish and maintain effective working relationships at all levels.
- Prefer demonstrated ability to work independently.
- Prefer working knowledge of medical terminology, CPT, HCPCS, ICD 10, and Revenue Codes.
- Prefer demonstrated knowledge of Medicare, Medicaid, Medicare OPPS reimbursement and third party billing rules and coverage determinations.
- Prefer demonstrated high level of computer skills, including spreadsheet programs, word processing, database programs, and various Microsoft applications and the ability to quickly learn and utilize new systems.
- Prefer demonstrated ability to handle multiple responsibilities simultaneously and problem solve.
- Prefer the ability to think both creatively and analytically.
- Prefer demonstrated process improvement skills.
- Prefer demonstrated proficiency in verbal and written communication including writing and presenting formal reports, analysis and presentations.
Mandatory Education
Preferred Education
MBA : Master of Business Admin
Required License and Certs
Preferred License and Certs
J-18808-Ljbffr
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