Chargemaster Coordinator

Job Title: Chargemaster Coordinator
Location: Bellaire, TX 77401
Duration: 3+ months Contract (Possible extension)

Duties:

• To interact with all revenue-generating departments in assigning revenue/CPT/HCPCS codes to the hospital chargemaster for the purpose of assuring compliance with government/non-government agencies and insurance companies.
• Researches and assigns appropriate CPT (Current Procedural Terminology)/HCPCS (Healthcare Common Procedure Coding System) codes to all billable items. Ensures that the department understands the CPT/HCPCS codes and agrees that the service performed matches the CPT/HCPCS description.
• Assigns and maintains the appropriate place of service to the SIM form and in current EHR.
• Assigns appropriate revenue codes in current EHR for all billable items.
• Assigns appropriate SIM number to new items in the chargemaster.
• Reconciles entry to ensure accuracy each time changes, additions, or deletions are made in current EHR. Reconciliation of changes involves using export files from the test EHR environments and comparing them through each environment to ensure entries are reflective of changes to the charge master.
• Provides updated chargemaster to department; provides copies to appropriate Business Services and Financial Services personnel.
• Retains complete and organized documentation of all changes made to ensure an audit trail exists for all changes.
• Research and assigns appropriate CPT, HCPCS, and Revenue Codes to all billable items in the current EHR. Maintains and updates the Charge Description Master, and reconciles all changes to the chargemaster to ensure prices are set timely and accurately. Reconciliation of charges involves using export files from the test EHR environment and comparing them through each environment to ensure entries reflect changes to the fee schedule. Review services with the department to ensure revenue/CPT. HCPCS codes correspond with the service to be rendered. Maintains comprehensive and accurate documentation to support CDM updates. Investigate and confirm government and third-party payer payment guidelines for service codes. Prepares Revenue and Usage reports as requested. Reviews new item supply requests to determine changeability and understands supply markup formulas. Strong in-depth knowledge of coding guidelines, medical terminology, and abbreviations, as well as expertise in billing compliance rules and regulations. Strong analytic skills, communication, and organizational skills are needed.
• Licenses and Certifications: CPC, CCS, RHIA, or RHIT, and 4 years of experience as a Coder.

Candidate is required to provide their own equipment. Desktop & monitor needed.

The shift is typically 8:00 am to 5:00 pm; however, we are flexible, as our team members start anywhere between 7:00 am and 8:30 am, depending on their schedules.

Skills:

• Strong in-depth knowledge of coding guidelines, medical terminology and abbreviations, as well as knowledge of billing compliance rules and regulations.
• Strong analytical skills, excellent communication skills, good organizational skills, the ability to interact with all levels of employees, and the ability to type a minimum of 35-45 wpm.
• Should be detail oriented, assertive, and decisive in applying the above knowledge.
• Must possess the ability to adapt to and use different computer software systems.
• Strong excel skills also required to be able to reconcile changes using spreadsheets.

Education:

• Required - H.S. Diploma or GED

One of the certifications required:
CCS - Cert-Cert Coding Specialist - American Health Information Management Association (AHIMA)
Or
CCS-P - Cert-CCS-P Physician Based - American Health Information Management Association (AHIMA)
Or
COC-A - Cert Outpat Coder - Apprentice - American Academy of Professional Coders (AAPC)
Or
COC - Certified Outpatient Coder - American Academy of Professional Coders (AAPC)
Or
CPC - Cert-Cert Professional Coder - American Academy of Professional Coders (AAPC)
Or
RHIA - Cert-Reg Health Inform. Admins - American Health Information Management Association (AHIMA)
Or
RHIT - Cert-Reg Health Inform. TECH - American Health Information Management Association (AHIMA)

Required:

• 4 years Coder and/or Revenue Cycle experience

Required Education:

• Bachelors degree in Computer Science or a related discipline, or an equivalent combination of education and work experience.
• 2 years of experience can be waived with Bachelor's degree.

Preferred Education:

• Masters degree preferred.