Hybrid Charge Integrity Specialist bei Magruder Hospital

Improving Lives Together

Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous time off that includes Holidays, Vacation, Sick, Personal, and even your Birthday!  Our culture and family friendly work environment truly set us apart- apply today for an opportunity to join our team and help serve this great community!

The Charge Integrity Specialist is responsible for the accurate development, maintenance, and compliance of the hospital’s Chargemaster (CDM) and charge-related processes. This role ensures that all hospital charges are appropriately structured, compliant with federal and state regulations, and aligned with price transparency requirements. The position works collaboratively with clinical and operational departments, as well as the Revenue Cycle Management team, to support financial integrity and operational efficiency.

Essential Duties & Responsibilities:

• Maintain and update the hospital’s Chargemaster (CDM) to ensure accuracy, completeness, and compliance with regulatory requirements.
• Collaborate with department leaders to review and advise on charge structures, coding, and pricing strategies.
• Coordinate and implement annual price increases and ensure timely updates across systems.
• Monitor and ensure compliance with federal and state regulations related to hospital charges, including CMS price transparency rules.
• Serve as the subject matter expert on charge integrity, providing guidance and education to departments as needed.
• Work proactively with the Revenue Cycle Management team to identify and resolve charge-related issues.
• Conduct periodic audits of charge capture processes and recommend improvements.
• Stay current with industry trends, regulatory changes, and best practices in charge integrity and hospital pricing.
• Complies with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements; advising management on needed actions; ensures compliance with Joint Commission and other external and internal regulatory agencies.
• Maintains the integrity of confidential patient information in accordance with HIPAA and hospital policy, including accessing, using and disclosing patient information relevant to the individual employee’s job duties.  Also maintains confidentiality of other customer and hospital business affairs.
• Adheres to the standards of Magruder Hospital’s corporate compliance policies and seeks guidance and training when necessary to resolve questions about the policies.  Reports violations in accordance with corporate compliance and organizational standards.
• Attendance is an essential function of this position.  Reports to work on time and as scheduled; Shows respect for co-workers by following established break times;   Keeps personal conversations and telephone calls to a minimum.
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Other duties as requested or assigned.