Revenue Integrity Specialist: CDM & Reconciliation

Socket.dev; Annapolis (MD); On-site; USD 60,000 - 107,000; Full time

Job summary

Luminis Health in Annapolis, MD seeks an Analyst, Revenue Integrity to oversee charge controls, CDM maintenance, and compliance across facilities. You will generate reconciliation reports, review CPT/HCPCS coding, and collaborate with department heads to optimize revenue recognition.

Responsibilities include pulling performance reports, supporting audits, educating staff on correct billing practices, and developing enhanced charge reconciliation processes.

Qualifications

• BS in Finance, Accounting or Healthcare related field preferred.
• 2+ years experience supporting Revenue Cycle and Clinical systems.
• RHIA/CPC/CCS/COC/HFMA/NAHRI certifications preferred.

Responsibilities

• Pulls weekly performance reports and distributes to stakeholders.
• Generates daily reconciliation reports and coordinates reviews.
• Manages CDM updates and education on CPT-4/charge codes.
• Assists clinical management with CDM changes and billing practices.
• Performs audits and reviews to ensure charge integrity.
• Investigates billing irregularities and supports audits and disputes.

Skills

Revenue cycle knowledge

Charge reconciliations

Data analysis

Healthcare billing

Education

BS in Finance/Accounting/Healthcare

Tools

CDM software

CPT/HCPCS coding

Job description

Luminis Health in Annapolis, MD seeks an Analyst, Revenue Integrity to oversee charge controls, CDM maintenance, and compliance across facilities. You will generate reconciliation reports, review CPT/HCPCS coding, and collaborate with department heads to optimize revenue recognition.

Responsibilities include pulling performance reports, supporting audits, educating staff on correct billing practices, and developing enhanced charge reconciliation processes.