Charge Description Master (CDM) Analyst

St. Luke's University Health Network•Allentown, PA
•Hybrid

About The Position

The Charge Description Master (CDM) Analyst assists with maintaining and updating St. Luke's 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 requirements, and verifies the accuracy of payments for services rendered against payer contracts and other payment protocols. This is a full-time, 40-hour-per-week position with a Monday-to-Friday day schedule. Employees may choose a start time between 6 AM and 9 AM. The home location is St. Luke's Center in Allentown, Pennsylvania. After six months of on-site training, hybrid remote work two days per week may be available at the manager's discretion to candidates in Pennsylvania and New Jersey.

Requirements

  • Two years of CDM maintenance experience is preferred.

Nice To Haves

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

Responsibilities

  • Maintain work volume within department work queues by collaborating with clinical and revenue cycle staff throughout issue resolution.
  • Assist management in establishing charges for new procedures, services, and supplies.
  • Perform initial pricing of hospital and professional services using pricing methodologies established for the Network.
  • Ensure the CDM complies with third-party coding requirements, including UB04 revenue codes and HCPCS/CPT codes.
  • Assist in maintaining and updating the network CDM to maximize reimbursement.
  • Respond to customer service requests to 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 potential additions or revisions to the CDM/Epic system.
  • Comply with hospital and departmental policies and procedures.
  • Maintain confidentiality of materials handled within the Network/Entity and ensure proper release of information.
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