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Chargemaster Description Coordinator (CDM)

  • Job ID: 011659197
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Finance
  • Department: HSD Oakland Pod
  • Location: 3600 Forbes Ave, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $24.05 to $41.60 / hour

Description

We are in search of a highly motivated and passionate CMD Coordinator who is ready to take their career to the next level!

As a member of the Hospital Service Division, the CDM coordinator will work closely with clinical services, finance leadership, and the revenue cycle.  The Coordinator provides education, training, and communication on billing and revenue optimization and best practices.   

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as Women Inspiring Talent in Heath Care in Finance (WITH) or PRIDE Health, that support the implementation of our diversity strategy. 

Join our team today! 

Responsibilities:

  • Assist and interact with all levels of management within the Revenue Cycle, as well as others outside of the Revenue Cycle.

  • Perform daily review/analysis of charging errors, working with ancillary departments to resolve in a timely manner.

  • Effectively support Charge Description Master maintenance coordination activities in a timely manner, including charge additions, CPT/HCPCS code changes, and pricing updates.

  • Work with PBS billing staff to identify, analyze and resolve CDM-related claim submission issues.

  • Establish and maintain collaborative, customer-focused relationships with all internal departments, as well as non-hospital groups or entities.

  • Investigates, analyzes and recommends actions and solutions for registration, coding, charge entry, cash collection, posting and balancing problems.

  • Support Revenue Cycle Services personnel with additional applications and software programs utilized within the Business Office.

  • Interact with personnel from Information Services, the CBO, and ancillary/clinical areas to ensure that all operational and revenue needs are met.

  • Participate in ongoing performance improvement programs; program development, staff training, and external conferences to ensure knowledge of billing and reimbursement regulations are current.

  • Support ancillary information system implementation efforts and other large-scale organizational projects by serving as CDM representative and identifying/analyzing/implementing CDM-related requirements.

  • Determine the needs of particular areas with regard to registration/billing requirements and serve as the liaison for all Information Service Requests.

  • Investigate and evaluate registration/billing problems to determine the necessary actions required to resolve the problem.

  • Develop solutions to operational problems, create and implement action plans, as well as day-to-day operational revenue management.

  • Analyze ancillary departmental charging system/processes, recommending changes as necessary to ensure timely and accurate revenue capture and billing to third-party payers.

  • Provide full cooperation and support to internal and external auditors by providing access to data, policies, or other requested material.

  • Participate in testing, validation, and implementation of all system enhancements and upgrade to ensure that functionality and productivity is maintained.

 

Qualifications

  • Bachelor's degree in business administration, accounting, or computer sciences preferred.
  • Minimum of 10 years of patient account experience required.
  • Knowledge of basic patient accounting principles.
  • Familiarity with large-scale, automated patient billing systems, medical terminology and coding.
  • In-depth knowledge of electronic data interchange and claims processing, third party payer rules, reimbursement practices and regulatory guidelines. Proficient with MS Word, Excel and Outlook. Excellent client service skills.
  • Excellent written and verbal communication skills.
  • Ability to coordinate projects to meet the needs of users and establish priorities, make decisions and follow issues through resolution.
  • Strong leadership skills, oversight and direction for assigned special project activities.
  • Hospital revenue cycle knowledge is preferred. 


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct