CDM Coordinator - Revenue Integrity

LCMC Health • New Orleans, LA

404d

About The Position

The Charge Description Master (CDM) Coordinator is responsible for managing and maintaining the hospital's Charge Description Master, ensuring the accuracy of charge codes, billing information, and compliance with regulatory standards. This role involves collaboration with various departments to verify that charges align with current practices and guidelines, as well as providing training and support to staff on CDM codes and charge capture processes.

Requirements

• Bachelor's degree in accounting, Finance, Business, Healthcare, Analytics or another related field.
• At least one coding credential through AHIMA, HFMA, AAPC, or EPIC certified.
• Demonstrated knowledge of OPPS reimbursement methodologies, Medicare reimbursement and billing guidelines, and familiarity with CMS transmittals and manuals.
• Working knowledge of medical terminology, CPT, HCPCS, ICD 10, and Revenue Codes.
• Demonstrated high level of computer skills, including spreadsheet programs, word processing, database programs, and various Microsoft applications.
• Strong analytical, problem solving, and organizational skills.

Nice To Haves

• Master's degree in accounting, Finance, Business, Healthcare, Analytics or another related field.
• Significant work experience in CPT, ICD10, and UB04 billing.

Responsibilities

• Ensure the hospital's CDM is accurate, up-to-date, and compliant with all federal, state, and payer regulations.
• Regularly review and update charge codes, procedure codes (CPT/HCPCS), and associated billing information.
• Work closely with clinical, finance, billing, and coding departments to verify that charges align with current practices and guidelines.
• Serve as the primary liaison between clinical departments and the revenue cycle team to address and resolve CDM-related issues.
• Ensure CDM updates comply with regulations from agencies like CMS, Medicare, Medicaid, and other third-party payers.
• Monitor changes to coding, billing regulations, and payer requirements, updating the CDM as necessary.
• Conduct regular audits of the CDM to identify discrepancies, ensure accuracy, and mitigate any potential compliance risks.
• Respond to audit requests by providing charge code documentation and explanations as needed.
• Provide training and support to clinical and administrative staff on the correct usage of CDM codes and charge capture processes.
• Offer educational sessions on regulatory updates, coding changes, and their impact on the CDM.
• Collaborate with revenue cycle and coding teams to identify opportunities to optimize charge capture, ensuring that all billable services are accurately reflected in the CDM.
• Identify and correct any missing, duplicate, or erroneous charge codes.
• Maintain data integrity within the CDM system by ensuring the accuracy of pricing, codes, and descriptions.
• Generate reports on CDM usage, compliance, and charge capture trends for leadership review.
• Assist in the development of policies and procedures related to the CDM, ensuring consistent application of coding standards and compliance measures.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree