CDM Specialist Sr
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Job Location:
Orlando, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Nemours is seeking a Sr. CDM Specialist in Orlando FL
This position is responsible for: assistance in maintenance of Charge Description Master (CDM) within Nemours hospital revenue producing departments. Works with the CDM/HB Manager to ensure an accurate CDM and Coding process resulting in clean and compliant claims. Acts as liaison and problem solver for CDM issues with Administration insurance companies charge capture departments Health Information Management Utilization Management Recovery Auditors Managed Care Corporate Compliances and Central billing Office (CBO).
Responsibilities:
Responsible for the coordination of ongoing CDM consistency within revenue producing departments. Includes maintaining accurate descriptions coding in-activations and revenue code assignments.
Demonstrate and incorporate a working knowledge of the hospitals billing and coding software applications as related to coding and billing of encounters.
Maintains an extensive working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist in cash collection while accurately complying with billing/coding guidelines.
Reviews denials from CBO relating to payor rejections and incomplete reimbursement resulting from CDM issues coding and billing issues.
Assists Recovery Audit staff with all CDM related hospital charge capture inquiries.
Conducts research related to CDM and hospital billing issues using various types of information media: internet payor intranet payor newsletters and/or manuals.
Works closely with EPIC IS application support relating to all CDM hospital billing functions: ADT (Admission Discharge Transfer) Ambulatory Charge Router Willow and Radiant.
Ability to read and comprehend the medical record to identify all diagnoses procedures and services for the patient encounter for outpatient and emergency room services.
Assists Coding Manager with coding duties.
Requirements:
5 years hospital billing and coding; 3-5 years of charge master experience
Epic Certification within 1 year of hire
Bachelors degree required
Required COC or CPC
Preferred HFMA CRCR AAHAM CRCS-I CHFP CRCS-P
#LI-AE1
Required Experience:
Senior IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware an ... View more
