Hybrid Charge Master Lead: Revenue Integrity & CDM

The University of Texas Medical Branch; Galveston (TX); Hybrid; USD 85,000 - 110,000; Full time

Job summary

The University of Texas Medical Branch seeks a Senior Analyst to oversee the Charge Description Master (CDM) integrity and manage updates to charge codes. You will work with the School of Medicine, Revenue Cycle Operations, and Revenue Integrity to ensure accurate charging and maximize gross revenue.

Responsibilities include CDM requests processing, CPT/HCPCS alignment, data analysis, policy development, and mentoring Charge Master Analysts.

Qualifications

• Bachelor’s degree in finance, Business Administration, Health Care Administration, Nursing, or related field, or equivalent broad proven practical experience in healthcare revenue management and 4 years’ related experience required.

Responsibilities

• Oversee processing of CDM requests to ensure that all additions, changes, and deletions are consistent with proper charging, billing, coding, and pricing practices in a timely manner.
• Facilitate analysis of the CDM to ensure accurate assignment of CPT/HCPCS and revenue codes to the Charge Master to comply with regulatory practices.
• Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.
• Facilitate charge router logic review with Revenue Integrity and coding counterparts to ensure accurate assignment of charges for services performed.
• Develop and maintain policies and procedures for CDM maintenance, pricing updates, and charge capture processes.
• Facilitate new department POS recommendations.
• Conduct annual review of the CDM and quarterly updates as appropriate.
• Ensure the Charge Master Analysts provide excellent customer service to departments and respond in a timely manner to all charge inquiries, updates, and requests for charge form set-up and assistance.
• Maintain excellent relationships with, and serve as liaison among RCO, Health System departments, School of Medicine departments and Finance team.
• Identify new coding sequences, as needed, for new services.
• Evaluate recommended charge protocols for given procedures in conjunction with reimbursement.
• Take initiative to identify system and/or operational problems and participate in streamlining charging workflows and optimizing current charging practices to increase revenue.
• Distribute coding and billing regulatory requirements and/or announcements to all applicable departments.
• Serve as a subject matter expert to Charge Master Analysts and the Revenue Integrity department for efforts to maintain the CDM and improve operational workflows.
• Hire and mentor Charge Master Analysts to support this function, conduct quality and productivity reviews of staff members, and provide feedback on performance.
• Provide frequent updates to leadership on staff performance, department charging issues, and current process improvement initiatives.

Skills

CDM knowledge

Statistical analysis

Regulatory knowledge

Epic proficiency

Medicare RBRVS

Communication

Time management

Project management

Education

Bachelor’s degree in finance, Business Administration, Health Care Administration, Nursing, or related field

Tools

Epic

Job description

The University of Texas Medical Branch seeks a Senior Analyst to oversee the Charge Description Master (CDM) integrity and manage updates to charge codes. You will work with the School of Medicine, Revenue Cycle Operations, and Revenue Integrity to ensure accurate charging and maximize gross revenue.

Responsibilities include CDM requests processing, CPT/HCPCS alignment, data analysis, policy development, and mentoring Charge Master Analysts.