The CDM (Charge Description Master) Analyst supports the maintenance and optimization of the Charge Description Master by analyzing charge codes, performing data audits, and ensuring regulatory compliance. This role helps ensure accurate charge capture, proper billing, and revenue integrity across clinical departments.
Key responsibilities
- Review CDM data for accuracy, currency, and compliance with payer and industry requirements
- Audit charge codes, procedure codes, and pricing to identify discrepancies and improvement opportunities
- Update the CDM by adding, modifying, or deleting charge codes as needed
- Document and communicate CDM changes to relevant departments
- Analyze charge capture processes to ensure services are billed correctly and reflected in the CDM
- Identify missing or incorrect charges and partner with clinical, billing, and coding teams to resolve issues
- Support internal and external audits with documentation, analysis, and timely responses
- Generate reports on charge capture trends, audit results, compliance metrics, and data quality
- Recommend process improvements to increase efficiency, accuracy, and revenue optimization
Requirements & Qualifications
Requirements
- 3+ years of experience in healthcare auditing, revenue integrity, revenue cycle management, healthcare finance, or a related field
- At least 2 years of analyst experience in a healthcare environment focused on chargemaster, revenue capture, charge auditing, reporting, and reimbursement
- 3 years of hospital or professional CPT-4, HCPCS Level II, and outpatient ICD-10-CM coding experience for multiple departments
- 2+ years of Epic experience, especially with work queues and charge capture functions
- Associate degree in healthcare administration, health information management, or a related field required; bachelor's degree preferred
- Preferred AAPC, AHIMA, or Epic certification
- Strong knowledge of Chargemaster management, charge capture, CPT, HCPCS, ICD-10, CMS rules, and third-party payer requirements
- Knowledge of OPPS reimbursement, Medicare/Medicaid billing guidelines, NUBC revenue codes, UB-04 claims, and medical necessity determinations
- Advanced Excel skills and proficiency with Office 365 tools
- Strong analytical, problem-solving, organizational, and communication skills
Location
New Orleans, Louisiana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 months ago
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