Senior Chargemaster Clinical Specialist
New
J
JobgetherHealthcare revenue cycle
Based in the United StatesFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- Three to five years of healthcare industry experience, including significant experience with hospital coding and chargemaster management in an acute care setting.
- Required Skills
- Microsoft AccessMicrosoft Excel
Requirements
- Bachelor's degree in Health Information Management, Finance, Nursing, or a related field, or comparable professional experience in a relevant discipline.
- Three to five years of healthcare industry experience.
- Significant experience with hospital coding and chargemaster management in an acute care setting.
- Strong understanding of charge description masters, clinical coding requirements, hospital billing practices, and healthcare reimbursement processes.
- Knowledge of payer-specific requirements and how payer mix affects coding and billing practices.
- Experience with fiscal intermediary requirements and applying CMS regulations across multiple healthcare facilities.
- Obtain Epic certification within two years of the hire date.
- Proficiency in Microsoft Excel, Word, and Access.
- Familiarity with healthcare revenue management platforms, particularly MedAssets products.
- Occasional travel for implementation support, training, and site visits.
- Preferred: CPC, RHIA, RHIT, or RN certification or registration.
- Preferred: Experience in Cath Lab, Cardiology, or Echocardiography service lines.
- Preferred: Experience with multiple Epic applications, Epic implementations, system optimization, or healthcare revenue cycle transformation.
Responsibilities
- Build, maintain, and improve charge description masters across multiple healthcare facilities.
- Ensure chargemaster structures support charge submission, reimbursement accuracy, and compliance with billing regulations.
- Review clinical charge information against coding requirements, payer-specific rules, and reimbursement guidelines.
- Collaborate with clinical, financial, coding, and revenue cycle teams to standardize chargemaster processes.
- Provide chargemaster maintenance and operational support following Epic implementations.
- Partner with Epic project teams on implementations, system updates, workflow improvements, and post-implementation activities.
- Evaluate facility-specific coding and reimbursement requirements, including payer mix and fiscal intermediary differences.
- Participate in pre-implementation site visits, Epic go-live activities, and follow-up assessments.
- Train and guide clinical and revenue teams on chargemaster processes, coding requirements, and system workflows.
- Identify opportunities to improve charge accuracy, standardization, compliance, and revenue cycle performance.
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