CDM Analyst: Charge Master & Reimbursement (Hybrid)

St. Luke’s Health Network, Inc.; Allentown (Lehigh County); Hybrid; USD 65,000 - 85,000; Full time

Job summary

St. Luke's Health Network, Inc. is seeking a CDM Analyst to support its Allentown operation with a focus on maintaining the diagnosis-related charge master and ensuring accurate pricing for hospital and professional services.

The role involves collaboration with clinical and revenue cycle teams, updating revenue codes, and supporting reimbursement optimization. A four-year degree and CDM experience are preferred.

Qualifications

• Four year degree preferred.
• Two years of CDM maintenance experience preferred.
• Hybrid remote work after 6 months on-site training.

Responsibilities

• Maintain volume within department work queues by collaborating with clinical and revenue cycle staff.
• Assist management in establishing charges for new procedures, services, and supplies.
• Initial pricing of hospital and professional services utilizing network methodologies.
• Ensure that the CDM complies with UB04 revenue codes, HCPCS/CPT codes.
• Maintain and update network CDM to maximize reimbursement.
• Field customer service requests to ensure patient chart documentation supports charges.
• Update Outpatient Workers Compensation Fee Schedules quarterly.
• Review third party correspondence to identify CDM/Epic updates.

Skills

CDM maintenance

Education

Four year degree in health administration, business, or related field

Tools

Epic system

Job description

St. Luke's Health Network, Inc. is seeking a CDM Analyst to support its Allentown operation with a focus on maintaining the diagnosis-related charge master and ensuring accurate pricing for hospital and professional services.

The role involves collaboration with clinical and revenue cycle teams, updating revenue codes, and supporting reimbursement optimization. A four-year degree and CDM experience are preferred.