Chargemaster Analyst

100 Lawrence Memorial Hospital; États-Unis; Sur place; USD 60 000 - 90 000; Plein temps

Avantages offerts par ce poste

Tuition reimbursement to support going

Professional development and recognit

Excellent benefits

Résumé du poste

LMH Health is seeking a Chargemaster Analyst to maintain the Charge Description Master (CDM) ensuring accurate charge capture, billing accuracy, and regulatory compliance. You will collaborate with clinical, finance, coding, billing, compliance, and IT teams to optimize revenue integrity and identify leakage.

You will implement CPT/HCPCS/ICD-10 updates, coordinate pricing across departments, and monitor reimbursement trends to propose process improvements while supporting audits and regulatory

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Finance, or related field.
• Or equivalent combination of education and experience.
• 3 years of experience in healthcare revenue cycle, chargemaster management, coding, reimbursement, revenue integrity, or related healthcare financial operations.

Responsabilités

• Maintain and update the Charge Description Master (CDM) to ensure accurate charge capture, billing, reimbursement, and regulatory compliance.
• Implement CPT, HCPCS, ICD-10, revenue code, and payer-driven updates.
• Coordinate charge and pricing updates across clinical and ancillary departments.
• Ensure charge codes, descriptions, modifiers, and revenue codes are appropriately assigned and maintained.
• Support implementation of new services, procedures, technologies, and regulatory changes impacting the CDM.
• Analyze charging workflows to identify revenue leakage, reimbursement opportunities, and operational inefficiencies.
• Conduct audits to evaluate charge capture accuracy, billing integrity, and reimbursement outcomes.
• Investigate and resolve charge-related discrepancies, edits, denials, and claim rejections.
• Collaborate with coding, billing, and operational leaders to improve charge capture and claim accuracy.
• Monitor reimbursement trends and recommend process improvements to optimize revenue performance.
• Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and hospital billing requirements.
• Monitor regulatory and reimbursement changes affecting charging and billing practices.
• Maintain documentation supporting chargemaster updates, audits, and compliance reviews.
• Support internal and external audit activities.
• Analyze revenue cycle, utilization, reimbursement, and financial data to identify trends and opportunities.
• Prepare reports, dashboards, and recommendations for leadership and operational stakeholders.
• Provide education and guidance regarding charge capture requirements, charging workflows, and CDM processes.
• Participate in revenue cycle, compliance, and revenue integrity initiatives and committees.

Formation

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Finance, Accounting, or related field

Outils

Epic

Meditech

Cerner

Description du poste

Something special starts here. You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community.

Benefits

• Tuition reimbursement to support continuing education
• Professional development and recognition
• Excellent benefits

We're looking for you.

Job Description

The Chargemaster Analyst is responsible for maintaining the accuracy, integrity, and compliance of the organization's Charge Description Master (CDM). This position partners with clinical, finance, coding, billing, compliance, and information technology teams to ensure charge capture, reimbursement methodologies, and regulatory requirements are accurately reflected within charging systems. This position supports revenue integrity efforts through chargemaster maintenance, data analysis, reimbursement optimization, and identification of revenue leakage and compliance risks.

Responsibilities

Chargemaster Administration

• Maintain and update the Charge Description Master (CDM) to ensure accurate charge capture, billing, reimbursement, and regulatory compliance.
• Implement CPT, HCPCS, ICD-10, revenue code, and payer-driven updates.
• Coordinate charge and pricing updates across clinical and ancillary departments.
• Ensure charge codes, descriptions, modifiers, and revenue codes are appropriately assigned and maintained.
• Support implementation of new services, procedures, technologies, and regulatory changes impacting the CDM.

Revenue Integrity & Reimbursement

• Analyze charging workflows to identify revenue leakage, reimbursement opportunities, and operational inefficiencies.
• Conduct audits to evaluate charge capture accuracy, billing integrity, and reimbursement outcomes.
• Investigate and resolve charge-related discrepancies, edits, denials, and claim rejections.
• Collaborate with coding, billing, and operational leaders to improve charge capture and claim accuracy.
• Monitor reimbursement trends and recommend process improvements to optimize revenue performance.

Compliance & Regulatory Oversight

• Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and hospital billing requirements.
• Monitor regulatory and reimbursement changes affecting charging and billing practices.
• Maintain documentation supporting chargemaster updates, audits, and compliance reviews.
• Support internal and external audit activities.

Reporting & Collaboration

• Analyze revenue cycle, utilization, reimbursement, and financial data to identify trends and opportunities.
• Prepare reports, dashboards, and recommendations for leadership and operational stakeholders.
• Provide education and guidance regarding charge capture requirements, charging workflows, and CDM processes.
• Participate in revenue cycle, compliance, and revenue integrity initiatives and committees.

Qualifications Required:

• Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Finance, Accounting, or related field; or equivalent combination of education and experience.
• Three (3) years of experience in healthcare revenue cycle, chargemaster management, coding, reimbursement, revenue integrity, or related healthcare financial operations.
• Experience interpreting CPT, HCPCS, ICD-10, revenue codes, and Medicare/Medicaid billing regulations.

Preferred:

• Experience in an acute care hospital environment.
• Experience with Epic, Meditech, Cerner, or similar healthcare information systems.
• Experience conducting charge capture or reimbursement audits.
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

Our Cultural Beliefs

People First Integrity Matters Better Together At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.