We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition Overview:
Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Evaluates changing regulatory and payer requirements, conducting research and analysis, and recommending applicable changes to the CDM. Reviews and updates Charge Description Master in the CDM software and serves as a primary knowledge point of contact in regards to the Charge Description Master. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software. Communicates changes made to the corporate CDM to impacted users / areas. Performs Epic pre-work activities related to the CDM mapping of chargemaster from legacy system to Epic.Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
- Bachelor's in Healthcare, Accounting, Math or related field
CERTIFICATION & LICENSURE:
- RHIA-Registered Health Information Administrator
- OR RHIT-Registered Health Information Technician
- OR CPC-Certified Professional Coder
- OR COC- Certified Outpatient Coder
- OR CCS-Certified Coding Specialist
- OR CCS-P-Certified coding specialist-Physician Based
TYPICAL EXPERIENCE:
- 2 years recent relevant experience.
SKILLS AND KNOWLEDGE:
- In-depth knowledge of charge master coding requirements including Revenue Codes, Current Procedural Terminology, Healthcare Procedural Coding Systems and modifiers
- Familiarity with medical terminology and medical record coding process.
- Knowledge of Outpatient Code Editor edits/National correct coding edits.
- Knowledge of Revenue Cycle applications, including Electronic Medical Records systems.
- Knowledge/ awareness of all areas related to CDM/Charge Capture management functions in acute and non-acute settings and how they interrelate.
- Knowledge of principles, methods, and techniques related to compliant healthcare billing.
- Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a CDM/Charge Capture function.
- Well-developed process design, implementation, and improvement skills.
- Accuracy, attentiveness to detail and time management skills.
- Aptitude to conceptualize, plan, and implement stated goals and objectives.
- Ability to manage own schedule and responsibilities. Must have initiative to work effectively without constant supervision and direction, meeting all deadlines.
- Ability to work concurrently on a variety of tasks/projects in a fast paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
- High-level problem identification/ mitigation/ resolution, analytical and financial skills.
- Ability to develop effective working relationships/ networks within and outside the organization.
- Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions.
- Ability to recognize the appropriate style, level of detail, and message for the audience.
- Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, Microsoft Suite and knowledge of Patient Management information system applications, preferably EPIC.
Job Shift:
DaysSchedule:
Full TimeDays of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $106,745.60 to $160,118.40 / annual salary. California, New Jersey, and Washington Pay Range is $106,745.60 to $160,118.40 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, and Virginia Pay Range is $96,075.20 to $144,123.20 / annual salary. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, and Utah Pay Range is $85,404.80 to $128,107.20 / annual salary.The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Skills Required
- Bachelor's degree in Healthcare, Accounting, Math, or related field (or equivalent experience)
- One of the following certifications: RHIA, RHIT, CPC, COC, CCS, or CCS-P
- Minimum 2 years recent relevant experience
- In-depth knowledge of CDM coding requirements including Revenue Codes, CPT, HCPCS and modifiers
- Familiarity with medical terminology and medical record coding processes
- Knowledge of Outpatient Code Editor edits / NCCI and correct coding edits
- Knowledge of revenue cycle applications and electronic medical records systems
- Knowledge of CDM/Charge Capture management in acute and non-acute settings
- Understanding of compliant healthcare billing principles and payer contractual obligations
- Process design, implementation, and improvement skills with strong attention to detail
- Ability to manage workload independently, meet deadlines, and work on multiple projects concurrently
- Proficient with spreadsheet, word processing, statistical, project management, and presentation software (Microsoft Office)
- Knowledge of Patient Management information system applications, preferably Epic
Sutter Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sutter Health and has not been reviewed or approved by Sutter Health.
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Healthcare Strength — Healthcare coverage is described as comprehensive, with broad networks and strong wellness support. Family coverage is characterized as low-cost or nearly free in some plan options, reinforcing perceived value.
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Retirement Support — Retirement offerings include employer matching and, in some cases, a pension after a tenure threshold. Supplemental protections like life and disability insurance add to the overall financial security package.
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Leave & Time Off Breadth — Paid time off is framed as generous, with examples of sizable PTO allotments early in tenure. Additional supports such as flexible scheduling and leave programs contribute to a sense of time-off breadth.
Sutter Health Insights
What We Do
Sutter Health is one of the nation's leading not-for-profit healthcare networks, which includes award-winning physician organizations, acute care hospitals, surgery centers, medical research facilities and specialty services. Our team of 68,000 doctors, employees and volunteers proudly cares for Northern California. Our facilities and care centers are located in large, urban cities and small, rural communities, from the Pacific Coast to the San Joaquin Valley. You’ll find us in San Francisco, Oakland, Sacramento, the snowy mountains of the Sierra Nevada and Lake Tahoe, Napa Valley, Yosemite and the coastal redwoods. We even have an affiliate in Hawaii. Join us and be part of a dedicated group of professionals committed to putting patients’ needs first and achieving the highest levels of quality, access and affordability.
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