• Senior Consultant, Business Health Solution - CDI

    Job ID
    2018-22733
    Employment Type
    full-time
    Hours Per Week
    40
    Onsite Work Schedule Details
    M-F
  • Overview

    Establishes and maintains professional relationships with assigned Charge Description Master (CDM) customers by providing quality support of chargemaster maintenance, requests for change and billing inquiries. Participates in various consulting engagements related to outpatient revenue cycle, including CDM compliance reviews, charge capture assessments, and outpatient coding, billing, and documentation audits.

    Responsibilities

    • Achievement of project goals, project/practice margins, and project timeline
    • Achieves targeted utilization
    • Ability to read, research, analyze, interpret general business periodicals, professional journals, technical procedures or government regulations
    • Demonstrated success in leading projects (a successful project is defined as one that is performed in accordance to contract terms, provides a quality deliverable and meets or exceeds client expectations)
    • Understanding of data relationships and the effect of modifications in the revenue cycle
    • Familiarity with all aspects of the hospital outpatient revenue cycle and various reimbursement models, billing compliance guidelines, and local directives
    • Remotely manages daily and quarterly updates to assigned customers CDMs, based on the most current regulatory guidanceRegistered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)
    • Certified Coding Specialist (CCS); Certified Coding Associate (CCA)
    • Knowledge of new industry trends and regulations
    • Ability to train and mentor staff
    • Familiarity with various hospital charge structures
    • Knowledge of medical terminology
    • Ability to work with a diverse group of professionals and personalities in a team environment
    • Knowledge of MS Office applications, including Word, PowerPoint, Excel, Access and Outlook

    Qualifications

    • Bachelor's degree
    • Experience working with or managing the hospital Charge Description Master (CDM)
    • 3+ years related work experience
    • 1+ years of CDM Consultant experience
    • Possession of one or more of the following credentials:
    • Certified Professional Coder (CPC); Certified Outpatient Coder (COC)
    • Registered Nurse (RN)

    Preferred Skills

    • Master’s Degree
    • Experience working with or managing clinic and physician Charge Description Master (CDM)
    • Familiarity with Epic and Cerner patient accounting systems
    • 2+ years recent coding experience in acute care setting preferred
    • Clinical experience in areas of the Pharmacy, Materials Management, Laboratory, Nursing or other clinical areas
    • Knowledge of nThrive products or products and services of competitors preferred

    About nThrive

     Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.

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