Chargemaster Pricing Analyst

UIOWA•Iowa City, IA

19h•Hybrid

About The Position

UI Finance and Accounting Services is seeking a Chargemaster (CDM) Pricing Analyst to be responsible for the accuracy, integrity, and compliance of the hospital and physician Charge Description Master. This role ensures that all billable services, supplies, procedures, and pharmaceuticals are correctly represented, priced, and maintained in accordance with regulatory and organizational standards. The CDM Analyst collaborates closely with clinical departments, revenue cycle teams, and Finance to maintain a compliant, competitive, and operationally effective CDM.

Requirements

A Bachelor’s Degree in Business Administration, Healthcare Administration, Finance, Business, or related field, or equivalent combination of education and experience is required.
1 year of experience in accounting, business administration, or clinical charge capture and billing
Excellent written, verbal, and interpersonal communication skills.
Proficient in computer software applications.
Adaptability, creative problem solving, project management, and organizational skills.
Knowledge of team dynamics and skilled in building consensus .
Ability to develop and maintain effective relationships with internal and external partners .
Strong analytical skills with attention to detail and accuracy.
Ability to prioritize workload based on dynamic deadlines.
Demonstrated experience working effectively in a welcoming and respectful workplace environment.

Nice To Haves

Working knowledge of CPT/HCPCS, UB 04 and CMS billing guidelines.
Experience with EMR charging systems (Epic, Cerner, etc.) and CDM management tools.
Strong analytical and problem-solving skills
Deep understanding of hospital and professional billing requirements
Knowledge of medical record documentation types and concepts related to outpatient and inpatient services (e.g., outpatient and inpatient evaluation and management services, procedural/operative services, laboratory, and radiologic services).
Knowledge of computer systems such as Epic, Microsoft Office products, and Adobe.
Knowledge of University policies, procedures, and regulations.
Knowledge of claims billing and follow-up
Strong ability to engage interdisciplinary teams including clinical staff
Reasonable knowledge of complex financial and statistical analysis and presentation.
Experience with supply research and GUDID.

Responsibilities

Add, update, or inactivate CDM items including charge descriptions, revenue codes, pricing, HCPCS/CPT codes (as applicable), and departmental mappings.
Maintain internal naming conventions, CDM standards, workflow policies, and required governance approvals.
Develop, update, and review specialty or bundled pricing structures—such as elective procedures, self pay package rates, and cosmetic services—to ensure transparency, competitiveness, and strategic alignment.
Ensure compliance with institutional policies to determine whether supplies are chargeable and accurately apply guidelines in billing processes.
Maintain a thorough understanding of supply manufacturer information, FDA designations, Global Unique Device Identification Database (GUDID) requirements, and payor guidelines to ensure accurate classification and compliance.
Ensure accuracy across both hospital and professional billing CDMs.
Monitor and implement quarterly and annual regulatory updates, including CMS OPPS and MPFS rules, AMA CPT annual updates, HCPCS Level II changes, state specific billing and coding requirements
Apply regulatory updates to the CDM and validate downstream impacts on charging workflows and reimbursement.
Collaborate with Compliance, Coding, and Revenue Cycle teams to ensure adherence to federal, state, and payer-specific billing rules.
Conduct routine pricing reviews and maintenance in collaboration with Finance and Decision Support.
Support market comparison studies, cost-based pricing models, and rate analyses.
Ensure pricing strategies align with reimbursement methodologies, payer contract terms, and organizational margin goals.
Maintain documentation and audit trails related to pricing decisions and updates.
Partner with clinical and operational leaders (e.g., Radiology, OR, Lab, Pharmacy, Therapy, ED) to accurately structure CDM items that reflect delivered services.
Provide education and subject matter expertise on new, revised, or complex charge codes and charging requirements.
Assist departments in understanding regulatory impacts and charging changes resulting from new services, technology, or operational workflows.
Maintain thorough documentation of CDM changes, rationales, and approvals in accordance with governance standards.
Support internal, external, payer, or regulatory audits by researching charge history, pricing, and CDM updates.
Participate in remediation activities and continuous improvement efforts tied to audit findings.
An integral part in the development of policies and procedures as they relate to improving processes, strengthening controls, enhancing revenue, and improving cash flow.
Maintain all assigned Revenue Integrity Epic work queues related to Chargemaster.
Maintain effective working relationships with faculty, staff, students, and the public.