Charge Description Master (CDM) Analyst

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 is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

HOURS

Full Time, 40 hours/week, Days Mon-Fri, employees may choose a start time between 6 AM and 9 AM
No nights, holidays, or weekends
Home location of St. Luke's Center, Allentown PA with the opportunity to work hybrid remote two days per week, after 6 months on site training, and at the manager's discretion, for PA and NJ candidates.

JOB DUTIES AND RESPONSIBILITIES

• Maintain volume within department work queues by collaborating with both clinical and revenue cycle staff throughout the issue resolution process.
• Assists management in the establishment of charges for new procedures, services, and supplies.
• Responsible for the initial pricing of hospital and professional services utilizing various pricing methodologies established for the Network.
• Ensures that the CDM complies with third party coding requirements regarding UB04 revenue codes, HCPCS/CPT codes.
• Assists in the maintenance and updating network CDM to ensure reimbursement maximization.
• Field customer service requests to ensure patient chart documentation supports the charges applied to the patient account.
• Updates Outpatient Workers Compensation Fee Schedules on a quarterly basis.
• Reviews third party correspondence (bulletins, Code Correct Informants, etc.) to identify possible additions and/or revisions to CDM/Epic system.
• Complies with all hospital and departmental policies and/or procedures.
• Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.

PHYSICAL AND SENSORY REQUIREMENTS

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephone, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 10 pounds. Stoops, bends and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and viewing computer screen.

EDUCATION

Four year degree in health administration, business, or related field is preferred.

TRAINING AND EXPERIENCE

Two years of CDM maintenance experience is preferred.

St. Luke's University Health Network is an Equal Opportunity Employer.