Job title: CDM Analyst
Company: Ensemble Health Partners
Job description: Thank you for considering a career at Ensemble Health Partners!
Essential Job Functions:
Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness. Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits. Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff. Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master. Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation. Ensures compliance with pricing policy. Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master. Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees. Working with groups, also develops new areas of review for future revenue enhancement. Groups may include representatives from various clinical areas, Coding, Medical Records, Billing, Compliance and Information Systems. Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved. Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master. Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments. Performs other duties as assigned.
Minimum Education Required: 4 year/Bachelor’s Degree
Minimum Education Preferred: Graduate Degree/Master’s Degree
Licensure/Certifications Preferred: Certifications in patient access or patient accounting. Coding certification highly preferred
Combination of post-secondary education and experience will be considered in lieu of degree
Minimum Years and Type of Experience: Six years of experience in the healthcare industry is required. Charge Master, EAP and coding experience are highly preferred.
Other Knowledge, Skills, and Abilities Preferred: Experience in physician and hospital operations, compliance and provider relations.
Scheduled Weekly Hours: 40
Work Shift: All (United States of America)
We’ll also reward your hard work with:
- Great health, dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Paid time off
- Tuition reimbursement
- And a lot more
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or . This department will make sure you get connected to a Human Resources representative that can assist you.
Job date: Sat, 23 Oct 2021 22:53:42 GMT
Apply for the job now!