Revenue Integrity Analyst

Children's National Medical Center; Washington (District of Columbia); On-site; USD 65,000 - 109,000; Full time

Job summary

Children's National Medical Center is seeking a Charge Master Coordinator to oversee the hospital's charge description master, coding accuracy, and related education across departments.

The role requires 3+ years in charge capture or CDM within a hospital setting, with an Associate's degree mandatory and a healthcare-related Bachelor's preferred. You will collaborate with clinical and administrative teams to optimize net revenue and ensure regulatory compliance.

Qualifications

• Associate's Degree is required.
• Bachelor's Degree in Healthcare related field or equivalent work experience is preferred.
• 3+ years of experience in charge capture, coding or charge description master in a hospital environment is required.

Responsibilities

• Provide education and in-service training to departments on CDM and related processes.
• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes.
• Maintain and update the Charge Description Master and Room/Bed Master files.
• Monitor revenue department charge volumes and posting lag days.
• Ensure compliance with regulatory requirements and pricing practices.

Skills

Charge master management

Revenue cycle

Data analysis

Regulatory compliance

Education

Associate's Degree

Bachelor's Degree in Healthcare related field or equivalent

Tools

CDM software

CPT/HCPCS coding

Job description

Kids Are Our Everything.

Department

Pay Range

$65,124.80 - $108,555.20

The incumbent for this position is responsible for coordinating the charge master system and function, which is a listing of hospital services and procedures and the charges associated with those procedures. This position will utilize charge master management software and other resources to maintain a complete, accurate and standardized charge master. This position will provide charge master expertise, support, education, guidance and recommendations to clinical and administrative departments in order to optimize net revenue.

Minimum Education

Associate's Degree (Required)

Bachelor's Degree Healthcare related field or equivalent work experience (Preferred)

Minimum Work Experience

3 years 3 - 5 years of experience in charge capture, coding or charge description master in a hospital environment (Required)

Functional Accountabilities

Department Strategic Planning

• Provide education and in-service training to departments.


• Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.


• Process CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner.


• Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments.


• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to insure compliance with regulatory agencies.


• Distribute coding and billing regulatory requirements and/or announcements to all applicable departments.


• Responsible to make CDM related decisions that require significant analysis and investigation.


• Develop and maintain policies and procedures for the CDM, Pricing Policies and charge capture processes.

Program and Service Administration and Implementation

• Perform all maintenance to the Charge Description and Service Master and the Room and Bed Master Files


• Create and maintain all hospital transaction codes and revenue department codes.


• Monitor and report all revenue department's charge volumes and posting lag days.


• Research and resolve all charge and service master related code errors that affect the recycle and reject reports.