Revenue Intergrity Chargemaster Analyst - 248508

Medix™

United States

Remote

USD 65,000 - 100,000

Full time

14 days+
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Benefits offered by this job

Medical insurance
Vision insurance
401(k)
Student loan assistance
Tuition assistance

Job summary

A leading healthcare organization is seeking a Revenue Integrity Chargemaster Analyst to support revenue capture integrity. This role includes maintaining the chargemaster, conducting audits for billing accuracy, and collaborating with clinical teams to ensure compliance. Proven experience in Chargemaster and coding credentials are required. The position is primarily remote, with some location restrictions, and offers a salary range of $65,000 to $100,000 along with competitive benefits including medical and tuition assistance.

Qualifications

  • Coding credential required; certification can be obtained within 6 months.
  • 3+ years of experience in Chargemaster.
  • Strong analytical, financial, and research skills needed.

Responsibilities

  • Maintain and update the chargemaster (CDM).
  • Conduct prospective chart audits for billing accuracy.
  • Collaborate with multiple departments for charge-related updates.

Skills

Analytical skills
Communication skills
Attention to detail
Research skills
Proficiency in Microsoft Excel

Education

CPC, COC, CCS, CCA, or CCS-P certification
3+ years of CDM experience
Epic Charge Capture certification

Tools

Microsoft Excel
EMR systems

Job description

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
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