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Chargemaster Specialist

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Location: Pinehurst, North Carolina Facility: 10 - MRH/Corporate Department: FINANCE Schedule: Full Time: 40 hrs/wk Shift: Day Shift Hours: 8:30am-5:00pm Job ID: 2025-17432

Overview

Responsible for maintaining an accurate and complete chargemaster to ensure appropriate reimbursement and compliance with governmental billing regulations. Assists with establishing and administering all procedures and policies related to Chargemaster maintenance. Requires maintaining excellent working relationships with clinical representatives, as well as generating business communications and conducting group presentations to effectively convey financial information to staff members and educate colleuges across the system.

Bachelor's degree in HIM/HIT preferred or equivalent experience plus CCS/CCA/CCP coding certification and/or RHIA/RHIT. The ideal candidate will have a clinical background with strong project management, analytical and problem-solving skills. In addition to proven leadership and management skills, this position requires 3-5 years of chargemaster or charge capture experience including expertise in coding, billing, collections and related activities.


Qualifications

Preferred Skills:

Extensive knowledge of CPT/HCPCS/UB-04 revenue coding, modifiers, CMS billing regulations, APCs

Good understanding of the CDM relationship to related areas such as the General Ledger, Cost Accounting, Revenue Cycle, Coding and Budget

In depth knowledge of complex outpatient procedure terminology

Strong quantitative, analytical and organizational skills

Proficiency in chart review and clinical record information and coding methodologies

Ability to understand and interpret medical records and hospital bills

Ability to understand ancillary department functions

Extensive knowledge of CPT/HCPCS/UB-04 revenue coding, modifiers, CMS billing regulations, APCs

Good understanding of the CDM relationship to related areas such as the General Ledger, Cost Accounting, Revenue Cycle, Coding and Budget

In depth knowledge of complex outpatient procedure terminology

Strong quantitative, analytical and organizational skills

Proficiency in chart review and clinical record information and coding methodologies

Ability to understand and interpret medical records and hospital bills

Ability to understand ancillary department functions

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