Hybrid CDM & Revenue Cycle Analyst

St. Luke’s University Health Network; Allentown (Lehigh County); Hybrid; USD 65,000 - 95,000; Full time

Job summary

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

Qualifications

• 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.

Responsibilities

• 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.

Skills

CDM maintenance

Pricing hospital services

Revenue cycle collaboration

Policy compliance

Education

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

Tools

UB04 coding rules

HCPCS/CPT coding

Epic system

Job description

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