CDM Analyst - Revenue Integrity
New
L
LCMC HealthHealthcare Revenue Integrity
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 3+ years of experience in healthcare auditing, revenue integrity, revenue cycle management, healthcare finance, or a related field
- Required Skills
- Microsoft Excel
Requirements
- 3+ years of experience in healthcare auditing, revenue integrity, revenue cycle management, healthcare finance, or a related field.
- Minimum of 2 years of experience as an analyst in a healthcare environment with emphasis on chargemaster, revenue capture, charge auditing, reporting, and reimbursement.
- 3 years of experience in hospital or professional based CPT-4, HCPCS Level II coding, and outpatient ICD-10-CM coding for multiple departments.
- Strong knowledge of Chargemaster (CDM) management, including charge capture processes, coding, and compliance with CMS and third-party payer requirements.
- 2+ years of Epic experience, particularly in managing work queues and charge capture functions.
- Associate’s degree in healthcare administration, health information management, or a related field.
- Advanced Microsoft Excel skills.
- Working knowledge of medical terminology, NUBC revenue codes, and mapping structures.
- Proficiency in verbal and written communication, including formal reporting and presentations.
- Strong analytical, problem-solving, and organizational skills.
Responsibilities
- Review and analyze CDM data to ensure accuracy, currency, and compliance with industry standards and payer regulations.
- Conduct regular audits of charge codes, procedure codes, and pricing to identify discrepancies.
- Update the CDM by adding, modifying, or deleting charge codes based on regulatory changes or departmental requests.
- Analyze charge capture processes to ensure services are billed correctly and reflected in the CDM.
- Collaborate with clinical, billing, and coding departments to resolve charge capture issues.
- Generate reports on CDM activity, charge capture trends, audit results, and compliance metrics.
- Identify opportunities for process improvement and revenue optimization.
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