Duties/Responsibilities:

• Conduct Chargemaster and related reviews for assigned Clients and prepare professional documents outlining summary and detailed findings and recommendations

• Conduct charge capture reviews for Clients (documentation to charge to bill)

• Conduct NDC to HCPCS validation for Formulary Reviews

• Perform Item Master reviews (vendor catalog number to HCPCS/RC validation)

• Deliver education to Clients in Chargemaster billing, coding and compliance

• Prepare written material for client education on various compliance, charging, coding, and billing topics

• Remain current on any and all CMS Transmittals and related Federal Register articles for IPPS, OPPS, ASCs, CAHs, and MPFS (and other reimbursement models) and disseminate this information in the form of presentations and seminars to internal and external clients

Desired Skills/Qualifications:

• CCS, CCSP, CPC, COC, RHIT, and/or other clinical certification or licensure (LPN, RN, etc.)

o In the absence of a coding certification or clinical licensure, associate shall agree to complete formal education and training necessary to obtain agreed upon coding certification within 1 year from date of hire.

• CRCR certification from HFMA required, or must be obtained within 1 year from date of hire.

• Minimum of five years of facility-based Chargemaster experience with an additional three years of HIM/billing experience; prior consulting experience preferred

• Prior experience with Professional-based charging, coding, and billing is preferred.

• Thorough knowledge of Federal, state and payer regulations

• Capable of interpreting medical records reports and chart entries

• Familiarity with claim form content and format (UB04 and 1500)

• Able to work independently and as a team member

• Capable of applying judgment and decision making

• Intermediate Microsoft Office skills (Word, Excel, PowerPoint and Outlook)

• Experience in charge building and/or charge dictionary structure in various systems (e.g. Meditech, Cerner, Epic, Siemens, etc.)

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Cognizant

New Jobs

Team Lead - Chargemaster Services