CDM Analyst

Children's National Hospital • Silver Spring, MD

312d • $64,188 - $106,995

About The Position

The incumbent for this position is responsible for coordinating the charge master system and function, which is a listing of hospital services and procedures and the charges associated with those procedures. This position will utilize charge master management software and other resources to maintain a complete, accurate and standardized charge master. This position will provide charge master expertise, support, education, guidance and recommendations to clinical and administrative departments in order to optimize net revenue.

Requirements

• Associate's Degree (Required)
• 3 - 5 years of experience in charge capture, coding or charge description master in a hospital environment (Required)

Nice To Haves

• Bachelor's Degree in Healthcare related field or equivalent work experience (Preferred)

Responsibilities

• Provide education and in-service training to departments.
• Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.
• Process CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner.
• Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments.
• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to ensure compliance with regulatory agencies.
• Distribute coding and billing regulatory requirements and/or announcements to all applicable departments.
• Responsible to make CDM related decisions that require significant analysis and investigation.
• Develop and maintain policies and procedures for the CDM, Pricing Policies and charge capture processes.
• Perform all maintenance to the Charge Description and Service Master and the Room and Bed Master Files.
• Create and maintain all hospital transaction codes and revenue department codes.
• Monitor and report all revenue department's charge volumes and posting lag days.
• Research and resolve all charge and service master related code errors that affect the recycle and reject reports.
• Assist in performing comprehensive reviews with clinical departments to ensure completeness and accuracy of charge description master.
• Take initiative to identify system and/or operational problems and participate in the development of solutions to improve billing functions.
• Serve as expert resource for code and processing questions, train and educate coders.
• Maintain relationships with, and serve as liaison to department administration, physicians, clinic administration, information services, billing offices, financial offices and other departments.
• Participate in team meetings/activities and support the philosophy and goals of the team and department.
• Adhere to internal controls and reporting structure.
• Remain current with updated coding and billing regulations through yearly continuing education; read all announcements and relevant communications that relate to job duties.
• Lead special projects/assignments.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Associate degree