CDM Analyst

Job Description

The CDM Analyst plays a crucial role in ensuring accurate billing and reimbursement processes within the healthcare facility. They are responsible for maintaining, updating, and auditing the CDM, which serves as the foundation for billing procedures. The CDM Analyst collaborates with various departments to ensure compliance with regulatory requirements and optimal revenue capture.

Education

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field preferred
• Five or more years in previous CDM or coding role in lieu of formal education

Certifications

• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred
• Craneware certifications preferred

Required

• Epic Chargemaster certification or obtained within next scheduled Epic training block

Experience

• Prior experience in healthcare billing, revenue cycle management, or CDM management required
• Strong understanding of healthcare billing regulations, coding systems, and reimbursement methodologies

Reports To

Revenue Integrity Manager

Supervises

None

Physical Demands

• Moderately active work involving sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area
• Exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body
• Substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard
• Close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision
• Active for extended periods of time without experiencing undue fatigue
• Work schedule may change according to the needs of the hospital for off days, shifts or weekends

Mental Demands

• Demonstrate keen mental faculties/assessment and decision making abilities
• Demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone
• Demonstrate strong written and verbal communication skills
• Demonstrate emotional stability conducive to dealing with high stress levels
• Work under pressure and meet deadlines
• Maintain attention to detail and the ability to multi-task in complex situations

Special Demands

• Superior customer service skills and professional etiquette
• Proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word
• Appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages