Advanced CDM Analyst

About the role

Reporting to the Director of Analytics, this position supports hospital revenue integrity operations related to charge capture processes, revenue integrity, and Charge Description Master (CDM) oversight. The role involves root cause analysis of issues and the development of cross-application solution designs (system and/or workflow). This position collaborates with the EPIC CDM analyst to implement changes, additions, and deletions to the CDM file, develops CDM policies, and ensures compliance.

Responsibilities

• Reviews charges by cost center daily to determine reasonableness and researches any outliers.
• Collaborates with Revenue Integrity Nurse Auditors and the Denials team to establish front-end Revenue Guardian checks to improve pre-bill charge accuracy.
• Works the Revenue Guardian work queue daily, identifies patterns in charge capture opportunities, and communicates with departments to improve charge accuracy processes.
• Reviews and maintains all CDM maintenance activity, including data entry.
• Coordinates with leaders and teams on special projects related to price increases, annual CPT code updates, client requests, system conversions, or implementation of new CDM tools.
• Compiles, downloads, and distributes statistical CDM information.
• Assists with reports and tasks directly related to the chargemaster as assigned.
• Performs reconciliation of data input to ensure accuracy of the CDM.
• May assist in training and/or education for new staff, department staff, and clients after experience and competence have been documented.
• Adheres to hospital policies and procedures, maintaining confidentiality at all times.
• Demonstrates ethical business practices and personal actions that align with corporate compliance and integrity guidelines.
• Performs other duties as assigned.

Requirements

• Bachelor’s degree (B.A.) from a four-year college or university; or one to two years of related experience and/or training; or equivalent combination of education and experience.