This position is responsible for maintaining the integrity of revenue capture by managing and updating the Charge Description Master (CDM) in alignment with regulatory standards and organizational policies. The analyst conducts thorough assessments of charge capture processes through interviews, research, and data analysis to identify gaps and recommend improvements.
Key Responsibilities
- Lead charge capture evaluations, including root cause analysis and outcomes review, to ensure accurate billing and compliance
- Document and implement updates to the CDM using approved systems, ensuring all services are correctly coded and priced
- Collaborate with clinical and revenue departments to validate documentation and improve charge capture workflows
- Identify compliance risks and partner with department leaders to design corrective actions and process enhancements
- Support the integration of new services into billing systems and verify accurate charge code assignment
- Perform technical reviews of CDM entries to confirm completeness, validity, and adherence to coding guidelines
- Conduct regular audits focused on revenue cycle accuracy and uniform charge application across all payers
- Assist in developing educational materials, training sessions, and workshops on charge capture best practices
- Monitor system-wide CDM alignment and ensure updates reflect current billing and regulatory requirements
- Work with Information Systems to implement necessary software changes and test billing outputs
- Generate reports on charge discrepancies, late entries, and missing data to support performance tracking
- Communicate findings and recommendations to management through structured reporting and regular meetings
- Act as a primary contact for charge-related inquiries across departments
- Maintain a repository of industry benchmarks and use data to support continuous improvement initiatives
Qualifications
Candidates must have 1–3 years of experience with CDM management and a working knowledge of CPT coding from both inpatient and outpatient perspectives. Familiarity with UB-04, HCFA-1500, and MA claim forms is required, along with experience in charge development and cost accounting relationships. An Associate’s degree in business, finance, healthcare administration, or a related field is expected, though equivalent experience may be considered. Proficiency with Epic EMR is mandatory.
Preferred qualifications include professional certifications in healthcare coding or revenue cycle management and experience with Craneware or similar charge integrity software. Experience with proprietary systems and interdisciplinary collaboration is highly valued.
Work Environment
This is a hybrid role offering remote flexibility. The analyst will work across departments in a structured, compliance-focused environment, balancing multiple priorities in a fast-paced healthcare setting.
