Revenue Integrity Charge Description Master Analyst

Fairview Health Services•St. Paul, MN

24d•Remote

About The Position

Join Fairview as a fully remote Revenue Integrity Charge Description Master (CDM) Analyst. This role helps ensure accurate charge capture, compliant billing practices, and optimized reimbursement across the healthcare system. The analyst uses Revenue Cycle expertise, Epic knowledge, and analytical skills to maintain and enhance the CDM, identify revenue integrity opportunities, and support system improvements. The position collaborates across departments and uses data to inform operational decisions. The schedule is described as flexible, with no weekends.

Requirements

Bachelor’s degree in an applicable field, or four years of applicable experience in lieu of a bachelor’s degree.
At least 3 years of applicable Revenue Cycle experience.
Obtain an Epic Resolute certification in one or more of the following applications within one year: Resolute Hospital Billing Charging, Resolute Professional Billing Claims, Resolute Hospital Billing Claims, or Resolute Professional Billing Charging.
Knowledge of ICD-10-CM and CPT/HCPCS procedure coding and applicable regulatory changes.
Ability to investigate, analyze, interpret, and validate data and communicate findings.
Ability to work autonomously with minimal supervision.

Nice To Haves

Bachelor’s degree in Business Administration, Health Care Administration, or an applicable healthcare field.
5 years of applicable Revenue Cycle experience.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), CHRI, Certified Coding Specialist (CCS), or CPC certification.
Epic certification in Resolute Professional Billing or Epic Resolute Hospital Billing Charging.

Responsibilities

Analyze charging workflows and technical issues associated with Epic charging systems and related software.
Define and co-develop business requirements to optimize systems and operational workflows.
Support accurate and compliant charge capture, coding, and documentation to enable expected payment collection.
Support the creation of educational materials for staff and process improvement.
Research and interpret CPT/HCPC coding and billing regulations and recommend compliant CDM setup solutions.
Complete timely and accurate CDM updates to support clean claims and expected payment collection.
Coordinate with revenue-producing departments to ensure CDM data accuracy and help resolve related revenue issues.
Conduct service-line quality reviews using reporting tools to identify process, functional, and revenue gaps and determine resolutions.
Investigate, compile, analyze, interpret, and validate data; summarize findings and opportunities to support leadership decisions and corrective projects.
Perform quality control and process improvement through work queue monitoring, variance checks, analysis, troubleshooting, and research.
Develop, design, and maintain visuals and reports.
Serve as a subject matter expert and point of contact for charge application processes, system functionality, software applications, and business workflows.
Maintain knowledge of ICD-10-CM and CPT/HCPCS coding; support coding and regulatory updates, identify deleted, added, or replaced codes, and ensure corresponding system changes, education, and communications are completed.
Test new workflows and system functionality, identify testing conditions, and analyze results to safeguard charging and revenue integrity.
Define requirements for analytic tools, including fields, calculations, data definitions, and integration points.
Research, document, and facilitate resolution of charging issues reported by end users.
Develop relationships with key partners to identify and develop solutions to systematic issues and support revenue integrity.
Apply critical thinking to core functions and escalate system problems and operational needs as appropriate.
Complete work accurately and on time, follow the Revenue Cycle Escalation Policy, and work autonomously with minimal supervision.
Maintain knowledge of hospital revenue cycle operations, including registration, charge capture, health information management, claims, and payment posting.