[Remote] CDM Specialist Sr (Remote)

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Note: The job is a remote job and is open to candidates in USA. Nemours Children's Health is an internationally recognized children’s health system. They are seeking a Senior CDM Specialist to assist in the maintenance of the Charge Description Master (CDM) and ensure accurate coding processes for compliant claims.


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 hospital's 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

Skills

  • 5 years hospital billing and coding; 3-5 years of charge master experience
  • Epic Certification within 1 year of hire
  • Bachelor's degree required
  • Required COC or CPC
  • HFMA CRCR
  • AAHAM
  • CRCS-I
  • CHFP
  • CRCS-P

Company Overview

  • Nemours Children's Health is committed to improving the health of children. It was founded in 1936, and is headquartered in Jacksonville, Florida, USA, with a workforce of 5001-10000 employees. Its website is http://www.nemours.org.

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