Charge Description Master (CDM) Analyst

St. Luke’s University Health Network; Allentown (Lehigh County); Híbrido; USD 65.000 - 95.000; Jornada completa

Descripción de la vacante

St. Luke's University Health Network in Allentown, PA is seeking a Network Charge Description Master (CDM) role. You will assist in maintaining and updating the CDM under supervision, ensuring hospital services are correctly added per policies, and supporting audit/compliance with payer requirements.

The patient care setting offers on-site training with later hybrid remote work two days per week. Qualified candidates will have a four-year degree preferred and at least two years of CDM

Formación

• Four year degree in health administration, business, or related field preferred.
• Two years of CDM maintenance experience preferred.
• Ability to work under supervision and in cross-functional teams.

Responsabilidades

• Maintain volume within department work queues by collaborating with both clinical and revenue cycle staff throughout the issue resolution process.
• Assist management in the establishment of charges for new procedures, services, and supplies.
• Responsible for the initial pricing of hospital and professional services using established pricing methodologies.
• Ensure the CDM complies with third party coding requirements regarding UB04, HCPCS/CPT codes.
• Assist in maintaining and updating network CDM to maximize reimbursement.
• Field customer service requests to ensure documentation supports charges.
• Update Outpatient Workers Compensation Fee Schedules quarterly.
• Review third party correspondence to identify possible additions/revisions to CDM/Epic system.
• Comply with hospital and departmental policies.
• Maintain confidentiality of all materials and proper release of information.

Conocimientos

CDM maintenance

Pricing hospital services

Revenue cycle collaboration

Policy compliance

Educación

Bachelor's degree in health administration, business, or related field

Herramientas

UB04 coding rules

HCPCS/CPT coding

Epic system

Descripción del empleo

About St. Luke's

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.

Scheduling and Location

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.

Network Charge Description Master (CDM) Role

Assists in the maintenance and updating of the network Charge Description Master (CDM) under the direct supervision of senior level staff members. Responsibilities include ensuring that all hospital services are added to the CDM per established policies and procedures. Involved in Network audit/review initiatives to ensure compliance with third party payer regulations and requirements related to the charge process. Responsible for verifying the accuracy of payments received for services rendered per third party payer contracts/other payment protocols.

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 and Experience

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

Training and Experience: Two years of CDM maintenance experience is preferred.

Equal Opportunity Statement

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

About St. Luke's University Health Network

Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row. Learn More Here.