Sr Chargemaster Clinical Spec (Exempt)
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Key details
- Location
- United States
- Work style
- Remote
- Level
- Senior
- Job type
- Full-time
- Experience
- 3–5 yrs
- Function
- Healthcare
- Focus area
- other
- Posted
- 23h ago
Skills
About the role
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr Chargemaster Clinical Spec (Exempt) based in the United States.
As a Senior Chargemaster Clinical Specialist, you will play a critical role in maintaining accurate healthcare charge description masters (CDMs) to support compliant billing, appropriate reimbursement, and operational excellence across multiple healthcare facilities. You will ensure that chargemaster structures align with clinical services, payer requirements, and applicable government billing regulations. Working closely with clinical teams, revenue cycle professionals, coding specialists, and technology stakeholders, you will help standardize processes and improve financial accuracy. You will also provide ongoing support for electronic health record implementations, particularly Epic, ensuring that clinical and financial workflows remain consistent and effective. This fully remote opportunity combines healthcare expertise, regulatory knowledge, and technology-driven process improvement. Occasional travel will be required for implementation support, training, and site visits.
Accountabilities:
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Build, maintain, and continuously improve accurate and comprehensive charge description masters (CDMs) across multiple healthcare facilities.
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Ensure chargemaster structures support appropriate charge submission, reimbursement accuracy, and compliance with federal and governmental billing regulations.
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Review and maintain clinical charge information in accordance with coding requirements, payer-specific rules, and applicable reimbursement guidelines.
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Collaborate with multidisciplinary clinical, financial, coding, and revenue cycle teams to standardize chargemaster processes and ensure consistency across facilities.
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Provide ongoing chargemaster maintenance and operational support following Epic implementations.
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Partner with Epic project teams to support new implementations, system updates, workflow improvements, and post-implementation activities.
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Evaluate facility-specific coding and reimbursement requirements, including payer mix considerations and differences in fiscal intermediary requirements.
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Develop and maintain working knowledge of the fiscal intermediaries used across the organization and their interpretations of applicable CMS regulations.
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Participate in pre-implementation site visits, Epic go-live activities, and follow-up assessments to ensure successful system adoption.
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Provide training, education, and guidance to clinical and revenue teams on chargemaster processes, coding requirements, and related system workflows.
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Identify opportunities to improve charge accuracy, standardization, compliance, and overall revenue cycle performance.
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Perform responsibilities in alignment with organizational values, professional standards, and healthcare service excellence.
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Bachelor's degree in Health Information Management, Finance, Nursing, or a related field, or comparable professional experience in a relevant discipline.
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Three to five years of healthcare industry experience, including significant experience with hospital coding and chargemaster management in an acute care setting.
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Strong understanding of charge description masters, clinical coding requirements, hospital billing practices, and healthcare reimbursement processes.
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Knowledge of payer-specific requirements and the ability to understand how different payer mixes affect coding and billing practices.
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Experience with fiscal intermediary requirements and the ability to interpret and apply CMS regulations across multiple healthcare facilities.
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Epic certification required within two years of the hire date.
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Excellent organizational, analytical, problem-solving, and communication skills.
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Ability to work independently with minimal supervision, manage multiple priorities, and consistently achieve established objectives.