Lab Revenue Integrity Analyst – Charge & Coding

HNL Lab Medicine; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

HNL Lab Medicine is seeking a Billing/CDM Specialist to manage the chargemaster, ensure accurate coding, and drive revenue integrity across the lab services. The role involves cross‑functional collaboration with billing, IT, and clinical leadership, and adherence to Medicare guidelines and regulatory requirements.

The position is onsite at the Lehigh Valley area, with some days able to accommodate remote flexibility for attending in-person sessions as needed.

Qualifications

• High school diploma or GED; Associate/Bachelor in HIM/Business/Lab Science or related field.
• Experience in revenue cycle operations, chargemaster maintenance, medical billing, or CPT/HCPCS coding; or 5+ years as a medical technologist.
• Ability to read, analyze, and interpret regulatory guidance; strong written and verbal communication.

Responsibilities

• Maintain and update the laboratory chargemaster (CDM), ensuring accurate CPT/HCPCS codes, revenue codes, modifiers, and pricing.
• Validate LIS test builds and charge mapping to ensure alignment with billing rules and reimbursement requirements.
• Monitor payer policy changes and implement necessary CDM/workflow updates.
• Conduct routine audits of laboratory charges, coding accuracy, and billing workflows to identify missing charges, errors, or compliance risks.
• Review denials and reimbursement trends to identify root causes and recommend corrective actions.
• Ensure compliance with federal and state regulations, including Medicare guidelines, NCCI edits, and medical-necessity requirements.
• Partner with laboratory leadership, billing, revenue cycle, finance, and IT to support accurate charge capture and timely reimbursement.
• Support new test implementation by coordinating pricing, coding, and charge workflows.
• Participate in LIS/EHR upgrades, charge router updates, and system optimization projects.
• Develop and maintain documentation for CDM processes, charge capture workflows, and regulatory updates.
• Prepare reports on charge accuracy, denial trends, and revenue integrity metrics.
• Provide training to laboratory and revenue cycle staff on coding, billing, and charge capture requirements.
• Collaborate with partner hospitals and client institutions to ensure CDM alignment and accurate invoicing for laboratory services.
• Support contract pricing reviews and charge-related inquiries from external stakeholders.

Skills

Excel

Data analysis

Communication skills

Analytical thinking

Education

Associate or Bachelor in Health Information Management or related field

High school diploma or GED

Tools

Data analysis tools

Job description

HNL Lab Medicine is seeking a Billing/CDM Specialist to manage the chargemaster, ensure accurate coding, and drive revenue integrity across the lab services. The role involves cross‑functional collaboration with billing, IT, and clinical leadership, and adherence to Medicare guidelines and regulatory requirements.

The position is onsite at the Lehigh Valley area, with some days able to accommodate remote flexibility for attending in-person sessions as needed.