Director of Charge Description & Clinical Auditing - Patient Accounting & Billing Unit
Apply NowCompany: Riverside County, CA
Location: Riverside, CA 92503
Description:
Salary : $94,994.61 - $150,694.04 Annually
Location : Riverside
Job Type: Regular
Job Number: 25-77467-JE
Department: RUHS-Medical Center
Division: Patient Accounting-Billing
Opening Date: 04/07/2025
Closing Date: Continuous
ABOUT THE POSITION
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:
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 Access/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.
This class has been designated At-Will by the Board of Supervisors, in accordance with the provisions provided under Article 6, Section 601E (8) of the County Management Resolution and serves at the pleasure of the Assistant County Executive Officer-Health System.
This class has been deemed eligible for the Performance Recognition Plan as set forth under Article 3, Section 311(C) of the County Management Resolution. Program eligibility requires employees to be in a leadership position, manage other employees or programs, and have significant influence on the achievement of organizational objectives.
EXAMPLES OF ESSENTIAL DUTIES
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited college or university with a Bachelor's degree with major coursework in business, public, healthcare, or hospital administration, or other field closely related to patient access or patient business services. (Additional qualifying experience may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience.)
Experience: Three years of supervisory experience, which included responsibility for patient access or revenue cycle activities in a hospital or healthcare organization.
SUPPLEMENTAL INFORMATION
For questions regarding this recruitment please contact the recruiter, Jill Eastman, at
APPLICATION INFORMATION
Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here:
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at:
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.
If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services () or Association of International Credential Evaluators, Inc. ().
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.
Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.
Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.
Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site,
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL INSURANCE: A Flexible Benefit Credit is provided on a monthly basis as governed by the Management Resolution or applicable bargaining unit. Vision coverage is provided through Vision Service Plan (VSP) at no cost to employee or eligible dependents.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
A new member is defined as any of the following:
A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS. A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
401(a) MONEY PURCHASE PLAN: County contribution of $50 per pay period towards choice between two 401(a) plan providers.
ANNUAL LEAVE (Bi-Weekly Accrual):
0 < 36 months = 8.92 Hours
36 to 108 or more months = 12.00 Hours
Maximum Annual Leave accumulation is 1,800 hours. Employee may receive pay in lieu of up to 80 hours per calendar year. Agency/Department Head may approve an additional 80 hours.
-Annual Leave for Unrepresented Management Attorneys:
Maximum Annual Leave accumulation is 2,000 hours. Refer to Article 22 of the Management Resolution for a list of job classifications included.
HOLIDAYS: Normally 12 paid holidays per year.
BEREAVEMENT LEAVE: 5 days (3 days are County paid; 2 days can be taken through use of accrued leave balances).
BASIC LIFE INSURANCE: $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the Management Resolution or applicable bargaining unit.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding, Management Resolution, or Salary Ordinance. Please contact the recruiter listed on the job posting directly for more information..
01
What is your highest level of education completed from an accredited college or university with major coursework in business, public healthcare, hospital administration, or a closely related field to patient access or patient business services?
02
How many years of supervisory experience do you have, specifically overseeing patient access or revenue cycle activities in a hospital or healthcare organization?
03
How many years of hands-on experience do you have with Charge Description Master (CDM) management, including auditing, adding, deleting, updating, cash pricing, and OSHPD reporting?
04
How many years of experience do you have managing and optimizing the Charge Description Master (CDM), including working with charge descriptions, in a hospital?
05
How many years of experience do you have in performing clinical audits, including auditing billing charges and handling clinical payer appeals in a hospital environment?
06
How many years of advanced experience do you have using Microsoft Excel for data analysis and report generation?
07
How many years of professional experience do you have working with EPIC or a similar Electronic Health Record (EHR) system, specifically related to Charge Master or revenue cycle activities?
08
How many years of clinical experience do you have as an LVN (Licensed Vocational Nurse) or RN (Registered Nurse)?
09
Please explain why you believe you are a strong candidate for the Director of Charge Description & Clinical Auditing position, focusing on your experience with Charge Description Master (CDM) management, clinical audits, and your ability to manage and optimize CDM processes. Include any specific examples that demonstrate your expertise in these areas.
Required Question
Location : Riverside
Job Type: Regular
Job Number: 25-77467-JE
Department: RUHS-Medical Center
Division: Patient Accounting-Billing
Opening Date: 04/07/2025
Closing Date: Continuous
ABOUT THE POSITION
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 Access/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.
This class has been designated At-Will by the Board of Supervisors, in accordance with the provisions provided under Article 6, Section 601E (8) of the County Management Resolution and serves at the pleasure of the Assistant County Executive Officer-Health System.
This class has been deemed eligible for the Performance Recognition Plan as set forth under Article 3, Section 311(C) of the County Management Resolution. Program eligibility requires employees to be in a leadership position, manage other employees or programs, and have significant influence on the achievement of organizational objectives.
EXAMPLES OF ESSENTIAL DUTIES
- Responsible for oversight and management of CDM team.
- Responsible for developing and maintaining the Charge Master standard.
- Ensures that the RUHS system standard Charge Master meets federal, state regulatory requirements and guidelines and adheres to RUHS policies.
- Works with departments to ensure that the Charge Master accurately reflects the services provided by the clinical departments.
- Responsible for periodic reviews of all hospital charges to ensure that all charges are in compliance with RUHS system standard Charge Master.
- Responsible for routinely communicating the status of CDM integrity and accuracy to key stakeholders; notifies stakeholders as appropriate when issues arise.
- Provides reports and other documents as required to measure compliance to the standardized CDM.
- Develop Policies and Procedures for maintaining the RUHS standard CDM incorporating the RUHS CDM Guiding Principles and Charge Policies.
- Evaluates the efficiency or adequacy of Charge Master related processes and leads the development of new procedures as appropriate.
- Builds and maintains effective working relationships with other departments (Epic IS, HIM/Coding, Compliance, Patient Access, Clinical depts. etc.)
- Responsible for implementing routine, standardized reporting to provide stakeholders with commonly requested CDM extracts, Revenue and Usage, etc.
- Serves as Charge master expert for executives and Revenue Cycle pillar leaders; and provides support to CDM team, Revenue Cycle and hospital stakeholders.
- Consults with internal and external customers on the development and implementation of projects and process improvement.
- Maintains communication with all stakeholders to ensure efficient operations and successful implementations; including management of customer satisfaction and expectations.
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited college or university with a Bachelor's degree with major coursework in business, public, healthcare, or hospital administration, or other field closely related to patient access or patient business services. (Additional qualifying experience may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience.)
Experience: Three years of supervisory experience, which included responsibility for patient access or revenue cycle activities in a hospital or healthcare organization.
SUPPLEMENTAL INFORMATION
For questions regarding this recruitment please contact the recruiter, Jill Eastman, at
APPLICATION INFORMATION
Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here:
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at:
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.
If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services () or Association of International Credential Evaluators, Inc. ().
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.
Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.
Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.
Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site,
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL INSURANCE: A Flexible Benefit Credit is provided on a monthly basis as governed by the Management Resolution or applicable bargaining unit. Vision coverage is provided through Vision Service Plan (VSP) at no cost to employee or eligible dependents.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
- Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
- Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
- Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023, the employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.
A new member is defined as any of the following:
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
401(a) MONEY PURCHASE PLAN: County contribution of $50 per pay period towards choice between two 401(a) plan providers.
ANNUAL LEAVE (Bi-Weekly Accrual):
0 < 36 months = 8.92 Hours
36 to 108 or more months = 12.00 Hours
Maximum Annual Leave accumulation is 1,800 hours. Employee may receive pay in lieu of up to 80 hours per calendar year. Agency/Department Head may approve an additional 80 hours.
-Annual Leave for Unrepresented Management Attorneys:
Maximum Annual Leave accumulation is 2,000 hours. Refer to Article 22 of the Management Resolution for a list of job classifications included.
HOLIDAYS: Normally 12 paid holidays per year.
BEREAVEMENT LEAVE: 5 days (3 days are County paid; 2 days can be taken through use of accrued leave balances).
BASIC LIFE INSURANCE: $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the Management Resolution or applicable bargaining unit.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding, Management Resolution, or Salary Ordinance. Please contact the recruiter listed on the job posting directly for more information..
01
What is your highest level of education completed from an accredited college or university with major coursework in business, public healthcare, hospital administration, or a closely related field to patient access or patient business services?
- None of these
- Less than 30 semester or 45 quarter units
- At least 30 semester or 45 quarter units
- At least 60 semester or 90 quarter units
- At least 90 semester or 135 quarter unites
- At least 120 semester or 180 units
- I have my Associates degree
- I have my Bachelors degree
- I have my Masters degree
- I have my Doctorate degree
02
How many years of supervisory experience do you have, specifically overseeing patient access or revenue cycle activities in a hospital or healthcare organization?
- None
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
03
How many years of hands-on experience do you have with Charge Description Master (CDM) management, including auditing, adding, deleting, updating, cash pricing, and OSHPD reporting?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
04
How many years of experience do you have managing and optimizing the Charge Description Master (CDM), including working with charge descriptions, in a hospital?
- None
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
05
How many years of experience do you have in performing clinical audits, including auditing billing charges and handling clinical payer appeals in a hospital environment?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
06
How many years of advanced experience do you have using Microsoft Excel for data analysis and report generation?
- None
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
07
How many years of professional experience do you have working with EPIC or a similar Electronic Health Record (EHR) system, specifically related to Charge Master or revenue cycle activities?
- No Experience
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
08
How many years of clinical experience do you have as an LVN (Licensed Vocational Nurse) or RN (Registered Nurse)?
- None
- Less than 12 months
- 1 year or more, but less than 2
- 2 years or more, but less than 3
- 3 years or more, but less than 4
- 4 years or more, but less than 5
- 5 years or more, but less than 6
- 6 years or more
09
Please explain why you believe you are a strong candidate for the Director of Charge Description & Clinical Auditing position, focusing on your experience with Charge Description Master (CDM) management, clinical audits, and your ability to manage and optimize CDM processes. Include any specific examples that demonstrate your expertise in these areas.
Required Question