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Supervisor Charge Master

Dignity Health Phoenix, Arizona
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The posted compensation range of $35.28 - $51.16 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-383738 Employment Type Full Time Department Revenue Cycle Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00am - 5:00pm) Remote Yes Category Management
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Reporting to and working in collaboration with CommonSpirit Health (CSH) Revenue Integrity (RI) leadership, this position is responsible for directly managing the day to day charge description master (CDM) activities. This position will require collaboration and consistent communication with system CSH Revenue Cycle leadership as well as local clinical departments, Revenue Integrity teams and Optum/Conifer partners.  

The role supports CSH RI leadership in the oversight of CDM activities including governance, strategy and pricing for the enterprise with the goal to enhance effectiveness of patient net revenue realization and minimize revenue leakage across the system. This involves complete capture of patient revenue in every area that generates charges, management in relation to compliant CDM constructs, ensuring clean handoffs between Revenue Cycle, RI and clinical departments, Strategic Pricing, denials management, and clinical operations relations.


Responsibilities

The System Supervisor of charge description master (CDM) will:

  • Supervise teams that support the CDM work to promote its accuracy and integrity across revenue- generating departments of the organization
  • Supports the System Charge Master Manager in maintenance and enhancement of the charge description master activities via CDM tools 
  • Supports various CommonSpirit Health Revenue Capture initiatives
  • Consults with various stakeholders to help develop and implement policies and procedures for the purposes of having compliant and optimized chargemaster line items 
  • Identifies opportunities for charge description master improvement by implementing and analyzing the results of routine, random audits
  • Supports the manager in developing tools for the purposes of tracking and identifying potential areas of lost revenue
  • Oversees charge description master staff regarding the appropriate creation of CDM line items based on regulatory and billing guidelines.
  • Reviews changes in CPT codes, HCPCS codes and revenue codes for accuracy and compliance with all applicable policies published by Federal, State and Commercial Insurance payers. 
  • Supports IT and System Charge Master Manager related to routine maintenance with the CDM tool including new software releases/upgrades, merging updated CDM files, etc.
  • Assists with the development of programs, initiatives, and workflows, which provide alignment with education for internal customers to support CDM maintenance guidelines
  • Ensures staff members are knowledgeable about revenue assurance needs and reimbursement issues identified through audits, reviews and aggregate data analysis
  • Maintains knowledge of and adherence to code of conduct standards, confidentiality agreements, and the organization-wide mission statement 
  • Review and analysis of all CDM operations and financial reports
  • Ensure best practice “operations and process flows” are being adhered to and recommend changes as necessary
  • Alert System Revenue Integrity leadership to any issues or potential issues as it pertains to performance from Optum 360/Conifer

Qualifications
  • 5 years of experience with charge description master work
  • 2 years Leadership experience for charge description master activities
  • Bachelor’s Degree
  • Advanced degree such as MBA, MHA, or MPH
  • Registered Health Information Administrator (RHIA), Registered, Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Professional (CPC) or Certification in Healthcare Revenue Integrity (CHRI)
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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.