Under the direction of the Charge Integrity Manager, the Charge Description Master Specialist is responsible for interacting with departments across SBHCS to ensure that all billable items and services such as procedures, patient visits, supplies and pharmaceutics that are charged for through the Charge Description Master (CDM) are described, coded and priced appropriately and are representative of services provided.
In addition the CDM Specialist is responsible for researching CDM and patient charge issues and inquiries, defining the scope of research required to attain satisfactory resolution and making recommendations and providing updates to the Charge Integrity Manager and Department Directors of issues encountered and potential actions are carried out accurately and completely.
The CDM specialist is also responsible to inform Department Directors of the status of their requests, performing regulatory due diligence of billable services to ensure compliance; and overseeing the implementation of approved recommendations to ensure appropriate revenue capture.
Associates Degree or equivalent 3 to 5 years experience in finance or a health care related field.
CPT/HCPCS coding knowledge, billing and reimbursement knowledge surrounding UB-92 claim submission/generation.
Effective communication skills, organization and flexibility.
Preferred: Registered Nurse (RN), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). Other allied health certification and/or specialized degree; e.g. Laboratory/Medical, Radiology, Pharmacy or Cardiology Technician.
As New Jersey’s largest integrated healthcare delivery system, we strive to exceed the expectations of our patients and our employees. Barnabas Health treats over 2 million patients annually;
Barnabas Health includes more than 19,600 employees (second largest employer in the state), 4,650 physicians (one-fourth of the state's actively practicing physicians) and 443 residents.
- 225,000 inpatients and same day surgery patients
- 451,000 Emergency Department patients
- 1.5 million outpatients each year
- 17,000 babies delivered
Throughout Barnabas Health, our dedicated physicians, nurses and health professionals are committed to providing the highest quality of patient care and health education to the community and the region.
We offer a great work environment, competitive rates and excellent benefits, including:
- 401 (k) savings plan
- Comprehensive health and dental benefits
- Generous tuition reimbursement
- Medical and dependent care flexible spending plans
Barnabas Health - 23 months ago