Charge Description Master (CDM) Analyst

St. Luke’s University Health Network•Allentown, PA

13d•Hybrid

About The Position

The Charge Description Master (CDM) Analyst assists in maintaining and updating the Network CDM under the direct supervision of senior-level staff. The role ensures hospital services are added to the CDM according to established policies and procedures, supports Network audit and review initiatives for compliance with third-party payer regulations and charge-process requirements, and verifies the accuracy of payments for services rendered against payer contracts and other payment protocols. This full-time role is based at St. Luke's Center in Allentown, Pennsylvania. Employees work 40 hours per week, Monday through Friday, during the day, and may choose a start time between 6:00 a.m. and 9:00 a.m. There are no nights, holidays, or weekends. After six months of on-site training, hybrid remote work two days per week may be available at the manager's discretion for candidates in Pennsylvania and New Jersey.

Requirements

Two years of CDM maintenance experience is preferred.
A four-year degree in health administration, business, or a related field is preferred.

Nice To Haves

Four-year degree in health administration, business, or a related field.
Two years of CDM maintenance experience.

Responsibilities

Maintain department work-queue volume by collaborating with clinical and revenue-cycle staff to resolve issues.
Assist management in establishing charges for new procedures, services, and supplies.
Set initial prices for hospital and professional services using Network pricing methodologies.
Ensure the CDM complies with third-party coding requirements for UB-04 revenue codes and HCPCS/CPT codes.
Assist in maintaining and updating the Network CDM to help maximize reimbursement.
Respond to customer-service requests and ensure patient-chart documentation supports charges applied to patient accounts.
Update Outpatient Workers Compensation Fee Schedules quarterly.
Review third-party correspondence, including bulletins and Code Correct Informants, to identify possible CDM or Epic system additions and revisions.
Follow hospital and departmental policies and procedures.
Maintain confidentiality of materials handled within the Network or entity and ensure proper release of information.