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Director of Charge Description & Clinical Auditing

The County of Riverside's Patient Accounting and Billing Unit at Riverside University Health System (RUHS) Mission Grove location is seeking a Director of Charge Description & Clinical Auditing to join our team in Riverside.

The Director of Charge Description & Clinical Auditing will be responsible for managing and optimizing the standard Charge Description Master (CDM) to ensure it is accurate and compliant with coding rules and billing regulations. This position will lead the department's efforts in reviewing and researching charge-related data to maintain compliance and accuracy within the system's CDM. The Director will ensure that CDM maintenance requests are processed and completed efficiently, accurately, and in a timely manner.

Additionally, the Director will collaborate with RUHS stakeholders to identify charge-related opportunities, evaluate current procedures, and assess internal controls to ensure charge master code compliance, charge accuracy, and improved charge capture. The role also includes maintaining oversight of the department's documentation of policies and procedures, ensuring compliant billing practices, and educating department staff and other stakeholders on CDM maintenance processes and compliance.

Desired Qualifications :

A Master's degree in Healthcare Administration, Business, or a related field

At least one (1) year of hands-on experience with Charge Description Master (CDM) management, including auditing, adding, deleting, updating, cash pricing, and OSHPD reporting.

Proven experience in clinical audits, including auditing billing charges and handling clinical payer appeals in a hospital environment.

Clinical experience as an LVN or RN is preferred

Professional-level experience with EPIC

Advanced proficiency with Microsoft Excel, including data analysis and report generation.

Bilingual skills in English and Spanish preferred.

Work Schedule : 9 / 80 Friday - Day Shift

This position is strictly on-site, with no remote work options. The first 30 days of training will follow a 5 / 8 schedule.

Meet the Team! Riverside University Health System (RUHS)

The classification for this position is Director of Patient Business Services; however, the working title is Director of Charge Description & Clinical Auditing. This is a continuous posting and will remain up until the position is filled. Applications will be reviewed, and competitive candidates will be referred for interviews in the order in which they are received.