Chargemaster Analyst

Lawrence Memorial Hospital•Lawrence, KS

About The Position

The Chargemaster Analyst maintains the accuracy, integrity, and compliance of the organization's Charge Description Master (CDM). The role partners with clinical, finance, coding, billing, compliance, and information technology teams to ensure that charge capture, reimbursement methodologies, and regulatory requirements are accurately reflected in charging systems. It supports revenue integrity through CDM maintenance, data analysis, reimbursement optimization, and identification of revenue leakage and compliance risks.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Finance, Accounting, or a related field, or an equivalent combination of education and experience.
Three years of experience in healthcare revenue cycle, chargemaster management, coding, reimbursement, revenue integrity, or related healthcare financial operations.
Experience interpreting CPT, HCPCS, ICD-10, and revenue codes, and Medicare/Medicaid billing regulations.

Nice To Haves

Experience in an acute care hospital environment.
Experience with Epic, Meditech, Cerner, or similar healthcare information systems.
Experience conducting charge capture or reimbursement audits.
Certified Professional Coder (CPC) certification.
Certified Coding Specialist (CCS) certification.
Registered Health Information Technician (RHIT) credential.
Registered Health Information Administrator (RHIA) credential.

Responsibilities

Maintain and update the Charge Description Master to support accurate charge capture, billing, reimbursement, and regulatory compliance.
Implement CPT, HCPCS, ICD-10, revenue code, and payer-driven updates.
Coordinate charge and pricing updates across clinical and ancillary departments.
Ensure charge codes, descriptions, modifiers, and revenue codes are appropriately assigned and maintained.
Support implementation of new services, procedures, technologies, and regulatory changes affecting the CDM.
Analyze charging workflows to identify revenue leakage, reimbursement opportunities, and operational inefficiencies.
Conduct audits of charge capture accuracy, billing integrity, and reimbursement outcomes.
Investigate and resolve charge-related discrepancies, edits, denials, and claim rejections.
Collaborate with coding, billing, and operational leaders to improve charge capture and claim accuracy.
Monitor reimbursement trends and recommend process improvements to optimize revenue performance.
Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and hospital billing requirements.
Monitor regulatory and reimbursement changes affecting charging and billing practices.
Maintain documentation supporting CDM updates, audits, and compliance reviews.
Support internal and external audit activities.
Analyze revenue cycle, utilization, reimbursement, and financial data to identify trends and opportunities.
Prepare reports, dashboards, and recommendations for leadership and operational stakeholders.
Provide education and guidance on charge capture requirements, charging workflows, and CDM processes.
Participate in revenue cycle, compliance, and revenue integrity initiatives and committees.