Revenue Integrity Chargemaster Analyst - 248508
Base pay range: $65,000.00/yr - $100,000.00/yr
Full‑Time | Remote (Some location restrictions apply)
An established healthcare organization is seeking a Revenue Integrity Chargemaster Analyst to support the integrity of the revenue capture system and ensure accurate, compliant charge processes. This role plays a vital part in the organization’s financial health through maintenance of the chargemaster (CDM), auditing, and collaboration with clinical and revenue cycle teams.
Key Responsibilities
- Maintain and update the chargemaster (CDM) including CPT, HCPCS, pricing, and revenue codes.
- Review, approve, and build new charges; ensure integration across related systems.
- Update CDM annually (AMA CPT) and quarterly (CMS HCPCS).
- Serve as primary liaison to clinical departments for coding updates and charge‑related changes.
- Conduct prospective chart audits to ensure billing accuracy and compliant charge capture.
- Oversee billing edits including CCI and MUE; partner with departments to reduce pre‑bill edits.
- Track edit volumes and assist departments with resolving recurring issues.
- Participate in compliance investigations, corrective action plans, and follow‑up reviews.
- Work cross‑functionally with Information Management, Professional Billing, and other revenue cycle teams.
- Provide education on coding, charge creation, and billing guidelines.
- Identify opportunities for improvement within CDM use, charge reconciliation, and workflow efficiency.
- Participate in organizational projects, price increases, and system upgrades.
- Support development and execution of the annual Revenue Integrity Workplan.
- Maintain understanding of Medicare, Medicaid, and commercial payer billing regulations.
- Ensure accurate fee schedules and assist with annual pricing updates.
Qualifications
- Coding credential: CPC, COC, CCS, CCA, or CCS-P (Candidates may obtain certification within 6 months of hire).
- 3+ years of CDM experience.
- Epic Charge Capture certification required within one year.
- Strong analytical, financial, and research skills.
- Proficiency in Microsoft Excel, Word, and PowerPoint.
- Excellent communication skills (verbal and written).
- Ability to work independently with strong attention to detail.
- EPIC experience.
- Clinical discipline background.
- PB and HB coding experience.
- Experience in academic or complex healthcare environments.
- Analytical, forward‑thinking, and solutions‑oriented.
- Strong communicator across multidisciplinary teams.
- Able to multitask and adapt to changing priorities.
- Tech‑savvy and comfortable with EMR systems.
- Independent, self‑motivated, and detail‑driven.
Role Logistics
- Schedule: Monday–Friday; flexible start between 7 AM–9 AM.
- Work Model: Primarily remote.
- Onsite for the first day of orientation if located in the Chicagoland area.
- Quarterly in‑person department meetings for local candidates.
- Fully remote for candidates outside the region.
- Equipment: Provided.
- Training: Hands‑on, ongoing training with department leadership, supported by training videos and team resources.
- Location Restrictions: Not eligible for candidates residing in CA, CO, HI, MD, MN, MA, NJ, NY, OH, OR, PA, RI, WA.
Day‑to‑Day
- Manage CCI edits and work queues; enhance team processes.
- Oversee charge creation, testing, and validation.
- Ensure CDM accuracy and annual code updates.
- Perform charge reconciliation reviews and identify improvement opportunities.
- Collaborate closely with Information Management, Professional Billing, and reimbursement teams.
- Conduct quality checks to ensure correct charge capture.
Hours: 8 hour shift, consistent between 7 AM and 7 PM.
Benefits inferred from description
- Medical insurance
- Vision insurance
- 401(k)
- Student loan assistance
- Tuition assistance
Categories
- Seniority level: Associate
- Employment type: Full‑time
- Job function: Analyst and Administrative
- Industries: Staffing and Recruiting; Hospitals and Health Care