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Job description
Analytical Cdm Billing Specialist
Join a dynamic healthcare team as an Analytical Cdm Billing Specialist, where you will ensure the accuracy and compliance of chargemaster data and billing practices. This role is essential in maintaining up-to-date CPT, HCPCS, revenue codes, charge descriptions, and pricing information. You will audit billing and coding procedures to maximize revenue and ensure adherence to regulatory guidelines.
Key Responsibilities:
Update and maintain the chargemaster with precise and current coding and pricing data.
Conduct audits of billing and coding to ensure compliance and optimize revenue collection.
Generate and analyze reports to monitor productivity, accuracy, and data integrity.
Develop and implement corrective action plans to address missing or invalid data.
Adhere to privacy and security regulations concerning Protected Health Information (PHI).
Maintain professional communication with patients, team members, physicians, and external agencies.
Education and Experience:
High school diploma or GED equivalent required.
Minimum of 4 years experience in billing, coding, revenue integrity, or chargemaster management.
Associate's degree in a related field preferred.
Experience with Cerner Millennium or Athena systems is a plus.
Certifications:
No mandatory certifications required.
Industry-recognized certification in coding, billing, medical auditing, or related fields preferred.
Skills and Abilities:
Intermediate computer proficiency.
Strong multitasking and prioritization capabilities.
Detail-oriented with extensive knowledge of CPT/HCPCS, UB04 revenue codes, modifiers, billing regulations, and APC.
Understanding of chargemaster relationships to general ledger cost accounting, productivity, cost reporting, and budgeting.
Physical Requirements: Primarily sedentary work with occasional exertion of up to 10 lbs and minimal standing or walking.
This opportunity is based in a regional healthcare setting within the Central Plains area of the United States, serving a broad community with diverse healthcare services. The organization offers competitive pay and a comprehensive benefits package, fostering a supportive and rewarding work environment.
Worksite address
milton, KS, 67106, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.