Ensures the integrity of the Charge Description Master (CDM) and charge capture processes by providing guidance on procedures charged, CPT codes, billing requirements, and compliance issues. Coordinates and implements CDM changes across information systems and partners with the System Office CDM and Compliance team. Supports compliance with Medicare, local payer, state, federal, and third-party billing requirements while helping improve revenue collection across the ministry organization.
Responsible for charge monitoring, CDM maintenance, audit review, reporting, education, and collaboration with clinical and administrative departments.
Bachelor's degree in Healthcare, Business Administration, Finance, Accounting, Nursing, or a related field, or equivalent education and experience.
Five years of experience in billing, charge documentation, charge audit, charge capture, or related revenue cycle activities.
Strong knowledge of:
- Clinical processes
- Charge master maintenance
- CPT, HCPCS, ICD-9/10, revenue codes, and modifiers
- Charging processes and audits
- Clinical billing
- CMS professional fee schedules
- Medicaid and commercial payer requirements
- Third-party payer rules and electronic interfaces related to charge documentation and billing
Preferred certifications:
- CPC
- CCS
- Other recognized coding certification
Strong interpersonal, verbal, written communication, organizational, analytical, and time management skills with close attention to detail.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago