Cdm Analyst

The incumbent for this position is responsible for coordinating the charge master system and function, which is a listing of hospital services and procedures and the charges associated with those procedures. This position will utilize charge master management software and other resources to maintain a complete, accurate and standardized charge master. This position will provide charge master expertise, support, education, guidance and recommendations to clinical and administrative departments in order to optimize net revenue.
Qualifications:
Minimum Education
Associate's Degree (Required)
Bachelor's Degree Healthcare related field or equivalent work experience (Preferred)
Minimum Work Experience
3 years 3 - 5 years of experience in charge capture, coding or charge description master in a hospital environment (Required)
Functional Accountabilities
Department Strategic Planning

• Provide education and in-service training to departments.

• Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.

• Process CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner.

• Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments.

• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to insure compliance with regulatory agencies.

• Distribute coding and billing regulatory requirements and/or announcements to all applicable departments.

• Responsible to make CDM related decisions that require significant analysis and investigation.

• Develop and maintain policies and procedures for the CDM, Pricing Policies and charge capture processes.

Program and Service Administration and Implementation

• Perform all maintenance to the Charge Description and Service Master and the Room and Bed Master Files

• Create and maintain all hospital transaction codes and revenue department codes.

• Monitor and report all revenue department's charge volumes and posting lag days.

• Research and resolve all charge and service master related code errors that affect the recycle and reject reports.

• Assist in performing comprehensive reviews with clinical departments to ensure completeness and accuracy of charge description master.

• Take initiative to identify system and/or operational problems and participate in the development of solutions to improve billing functions.

Human Resources and Relationship Management

• Serve as expert resource for code and processing questions, train and educate coders.

• Maintain relationships with, and serve as liaison to department administration, physicians, clinic administration, information services, billing offices, financial offices and other departments.

• Participate in team meetings/activities and support the philosophy and goals of the team and department.

• Adhere to internal controls and reporting structure.

• Remain current with updated coding and billing regulations through yearly continuing education; read all announcements and relevant communications that relate to job duties.

• Lead special projects/assignments.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance