Job Summary Maintains the CDM and CDM file to ensure accurate charge capture. Conducts pricing updates and makes recommendations based on published schedule (MDR). Communicates with departments the need for change/action as it pertains to charge capture. Completes periodic revenue analysis to identify charge variances. Develops and applies pricing algorithms to ensure pricing is consistent among departments. Works with IT staff to ensure Charge Master information is properly routed to claim forms, ensures items meet regulatory compliance guidelines. Maintains encounter forms. Stays abreast of Medicare and Medicaid coding and reimbursement requirements. Prepares monthly reports to inform Management of any changes in CDM/Charge Master and revenue volume.
Degrees / Work Experience / School Education: Bachelor's Degree in Heath Information Systems, Business, Health Administration preferred (And) Five (5) Years Work Experience hospital business office experience or CPT-4, HCPCS. Understanding of pricing methodology, CDM and Charge Master Maintenance and 3rd party billing and reimbursement experience preferred.
High School Diploma or GED (And) Nine (9) Years Work Experience hospital business office experience or CPT-4, HCPCS. Understanding of pricing methodology, CDM and Charge Master Maintenance and 3rd party billing and reimbursement experience preferred.
Communication Skills: Above Average Verbal (Heavy Public Contact), Writing /Correspondence, Writing / Reports
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.