Charge Description Master Specialist | Patient Accounting | Full Time | HYBRID (On-Site/Remote)

Essential Duties and Responsibilities

• Maintain the hospital and clinic chargemasters, including charge descriptions, procedure and supply codes, revenue codes, departments, units of service, prices, billable status, and effective dates.
• Review requests to add, revise, or deactivate charges and confirm that required approvals, supporting documentation, coding logic, and system dependencies are complete.
• Coordinate annual and interim chargemaster reviews with department leaders, finance, coding, compliance, billing, and clinical subject-matter experts.
• Evaluate charge-capture workflows for hospital departments, specialty clinics, and Rural Health Clinics; identify missed, duplicate, delayed, or unsupported charges and recommend corrective action.
• Support appropriate configuration and use of CPT, HCPCS, ICD-10-CM, revenue codes, modifiers, units, and other billing attributes, in collaboration with certified coding and billing personnel.
• Monitor coding, payer, reimbursement, and regulatory updates that may affect charge descriptions, billing edits, fee schedules, or claim submission.
• Validate that RHC services and non-RHC services are distinguished within workflows and systems and routed to the appropriate billing process.
• Support Critical Access Hospital billing workflows, including hospital, professional, outpatient, inpatient, observation, emergency, laboratory, therapy, imaging, pharmacy, and supply charges, as applicable.
• Partner with specialty clinic leaders to maintain procedure, drug, supply, implant, and medication-administration charge structures.
• Perform routine audits and data analyses to identify inactive, inconsistent, duplicate, or potentially noncompliant charge records.
• Investigate charge-related claim edits, denials, underpayments, and reconciliation variances; document findings and coordinate resolution.
• Maintain change logs, approval records, testing documentation, reference materials, policies, procedures, and departmental education.
• Participate in system implementations, upgrades, interfaces, and testing that affect orders, documentation, charge routing, coding, billing, or general ledger mapping.
• Provide education and technical guidance to clinical and operational departments on charge entry, documentation expectations, and charge-capture controls.
• Protect confidential patient, employee, financial, and proprietary information and follow organizational privacy and security requirements.
• Escalate identified compliance concerns through established organizational channels and assist with corrective-action monitoring.

Minimum Qualifications

• Associate degree in health information management, healthcare administration, finance, business, or a related field; equivalent relevant experience may be considered.
• Three years of experience in hospital or clinic revenue cycle, chargemaster maintenance, coding, billing, reimbursement, finance, compliance, or a related function.
• Working knowledge of hospital and professional billing concepts, charge capture, claims workflows, medical terminology, coding systems, and payer requirements.
• Experience using electronic health record, patient accounting, billing, or chargemaster management applications.
• Proficiency with spreadsheets and data analysis, including sorting, filtering, formulas, reconciliation, and data validation.
• Experience using Epic for chargemaster maintenance, charge routing, charge capture, billing workflows, workqueues, testing, and issue resolution.

Preferred Qualifications

• Bachelor’s degree in health information management, healthcare administration, finance, business, or a related field.
• Experience supporting a Critical Access Hospital, Rural Health Clinic, or multispecialty clinic environment.
• Professional certification such as CPC, CCS, RHIA, RHIT, CPMA, or CHFP.
• Experience with chargemaster software, contract modeling, price transparency support, or revenue integrity analytics.

Knowledge, Skills, and Abilities

• Strong analytical, problem-solving, reconciliation, and research skills.
• Ability to interpret technical billing and coding guidance and translate it into practical system and workflow requirements.
• High attention to detail and the ability to manage multiple priorities, deadlines, and effective dates.
• Clear written and verbal communication skills, including the ability to educate clinical and nonclinical audiences.
• Ability to work independently while coordinating effectively across departments.
• Sound judgment, professional discretion, and commitment to ethical and compliant practices.

Key Working Relationships

Works closely with department managers, physicians and advanced practice professionals, nursing, ancillary service departments, pharmacy, supply chain, health information management, coding, billing, patient financial services, compliance, finance, information technology, and external vendors.

Physical and Work Requirements

Work is primarily performed in an office or remote-work environment and requires extended use of a computer, telephone, and standard office equipment. The employee must be able to communicate effectively, review detailed information, and meet established deadlines. Reasonable accommodations may be made to enable qualified individuals to perform the essential functions.