CHARGE DESCRIPTION MASTER COORDINATOR

JOB DESCRIPTION

DATE POSTED: November 23, 2021

JOB STATUS: Permanent / Full-Time

SALARY: Negotiable

JOB LOCATION: Kaua’i Region Medical Group (KRMG) – Kaua’i, HI

FUNCTIONS: This position is located in the Patient Financial Services (PFS) department, which is responsible for a variety of fiscal services including patient accounting, admitting (patient access), financial counseling, payer negotiations, price transparency, charge description master management, denial management, health information management, and financial informatics. The Patient Financial Services Dept. also coordinates activities related to the planning, implementing, and maintaining of all functions pertinent to the Patient Financial Services areas.

The Charge Description Master (CDM) Coordinator is responsible for the management of the charge description master, the key to maintaining revenue integrity. This position works closely with clinical services, finance leadership and patient financial services to review and ensure the accuracy and completeness of all billable services in the Kaua’i Region and its affiliates. This position will also manage revenue codes and our pricing structure in order to remain competitive and negotiable high rates from private payers. The CDM Coordinator must be able to maintain open communication with all departments, including providers, and collaborate with Patient Financial Services and HIM to ensure that all clinical documentation and coding practices align with the charge master, as well as educate and update staff of any pricing and billing processes. The CDM Coordinator will also review the CDM for continuous improvement and workflow to ensure appropriate charge capture for all services and items provided to the patient. Other duties include assisting in strategic planning, staffing issues, budget, and cost analysis and performing other duties as assigned.

The CDM Coordinator may work remotely and may require travel to all facilities with the Kauai Region. Position may be required to work long hours, work all shifts, weekends and holidays as directed by the manager. This position reports to the Regional Revenue Cycle Officer (RRCO) or its designee.

MINIMUM QUALIFICATION REQUIREMENTS

To qualify, you must meet all of the following requirements.  Please note that unless specifically indicated, the required education and experience are credited based on a 40-hour workweek.

Education: High School Graduation; Bachelor’s Degree from an accredited four (4) year college or university preferred.

Experience: Strong background in financial management and knowledgeable of State and Federal laws and requirements relating to healthcare management.  Proven record of accomplishment in building and developing high performance teams.

Licensure: Current, valid driver’s license.

Certification: None required. Active membership in Healthcare Financial Management Association (HFMA) or related professional organization is highly desirable.

DESIRED SKILLS & ABILITIES

Knowledge of: principles and practices of charge master processes; principles and practices of supervision; governmental organization and functions; and public relations. Requires competitive skills in analysis patient accounting, measurement, and communication. Excellent computer and financial management skills.

Ability to: plan, organize, and direct the work of a charge master program, develop, revise and instill consistency and standardization within the EMR; obtain, analyze and evaluate facts; analyze facility needs and provide services to fulfill those needs; interpret pertinent laws, rules and regulations; prepare clear and concise correspondence and reports; draft policies and procedures; maintain cooperative and effective relationship with public officers, departmental personnel and members of the general public; and make sound administrative policy decisions; analyze and resolve problems that affect claim submission process; ability to financially analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; leadership skills to motive cross-department teams’ performance toward excellence.

Must have thorough knowledge in the areas of patient registration. medical records, accounts receivables (AR), and cost report programs; knowledge of third party requirements, Medicare/Medicaid regulations, and electronic filing of claims; excellent customer service skills required to deal with internal and external customers, departments and facilities, associates and physicians, various committees, vendors and governmental agencies; ability to meet deadlines.

Must have high level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an efficient and timely manner while prioritizing effectively in a team environment.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS

Applicants must be physically able to perform, efficiently and effectively, the essential duties of the position which typically require the ability to read without strain printed material the size of typewritten characters, glasses permitted, and the ability to hear the conversational voice, with or without a hearing aid, or the ability to compensate satisfactorily.

Mental/Emotional Requirements: All applicants must possess emotional and mental stability appropriate to the job duties and responsibilities and working conditions.

COVID-19 VACCINATION REQUIREMENT

COVID-19 vaccination is a condition of employment for KRMG.  After receiving a conditional offer of employment, all prospective new KRMG employees are required to be fully vaccinated against COVID-19.  New employees are required to provide confirmation of their full vaccination status by presenting their CDC vaccination card or VAMS Certificate prior to their start date.

To apply for this job email your details to cguirao@hhsc.org