Manager Charge Description Master - Remote

Description

Job Description

PeaceHealth is seeking a Manager, Charge Description Master. This remote role requires the incumbent to reside in OR, WA or AK.

Responsible for supervising the routine review of the PeaceHealth Charge Master for accuracy of CPT/HCPCS coding, including annual pricing and code set updates. Role involves collaborating with clinical departments, physician clinics, revenue cycle, finance, and organizational integrity to ensure all charge codes are accurate, up-to-date, and complaint with federal and state regulations. Oversees the development and implementation of price transparency strategies to make healthcare pricing more accessible to consumers in compliance with federal and state requirements.

Details of the Position:

• Ensures that the CDM complies with all federal, state, and local regulations, as well as payer-specific guidelines. Monitors regulatory changes and industry trends and conducts regular audits of the CDM to ensure accuracy and compliance.
• Oversees the annual update of the Charge Description Master (CDM) to ensure accuracy, completeness, and compliance with current regulations and payer requirements. Implements changes to the CDM based on updates to coding standards (CPT, HCPCS) as needed.
• Ensures that the CDM is effectively integrated with Epic, the electronic health record (EHR) and billing system. Participates in system upgrades and implementations, ensuring that the CDM is accurately reflected and functional in all systems.
• Provides training and support to clinical and revenue cycle staff on CDM-related processes and changes. Develops educational materials and conducts regular training sessions to promote understanding and compliance.
• Oversees the collection, management, publication, and regulatory submission of hospital pricing data in compliance with federal and state requirements.
• Develops and maintains policies and procedures related to CDM maintenance and hospital price transparency and ensures policies are communicated and adhered to across the organization.
• Oversees the daily operation of the CDM team. Manages, coaches, mentors, and trains caregivers. Conducts performance monitoring and evaluations. Manages workflow and allocation of resources to meet the needs of PeaceHealth entities, providers, and other customers.
• Performs other duties as assigned.
  
  

What You Bring:

Education

• Bachelor's Degree Required in Business Administration, Finance, or Healthcare Administration.
• Master's Degree Preferred
  
  

Experience/Training

• Minimum of 5 years Experience in finance or healthcare, including revenue cycle, revenue integrity, charge capture, compliance, pricing and/or reimbursement. Required and
• Minimum of 2 years Leadership experience. Required
  
  

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.