LCMC Health
Eight hospitals + dozens of New Orleans area clinics and practices, all focused on keeping you well.
CDM Analyst – Revenue Integrity
Location
Alabama + 4 moreAll locations: Alabama, Florida, Louisiana, Mississippi, Texas
Posted
45 days ago
Salary
Not specified
Associate Degree3 yrs expEnglish
Job Description
• Review and analyze CDM data to ensure that all charge codes are accurate, current, and compliant with industry standards and payer regulations.
• Conduct regular audits of charge codes, procedure codes, and pricing to identify discrepancies or areas for improvement.
• Assist in updating the CDM by adding, modifying, or deleting charge codes as needed, in line with regulatory changes or departmental requests.
• Ensure that all changes to the CDM are appropriately documented and communicated to relevant departments.
• Analyze charge capture processes to ensure that services provided are accurately billed and correctly reflected in the CDM.
• Identify any missing or incorrect charges, working with clinical and billing teams to resolve issues.
• Ensure that all updates and modifications to the CDM adhere to regulatory guidelines, such as those from CMS, Medicare, Medicaid, and other payers.
• Monitor industry changes and payer updates to stay informed of new coding and billing requirements.
• Work with clinical, billing, and coding departments to address charge capture issues and ensure proper usage of CDM codes.
• Act as a resource for staff on CDM-related inquiries and charge coding concerns.
• Participate in audits of the CDM, assisting with the identification of any discrepancies in charge capture and compliance.
• Provide documentation and analysis during external audits, ensuring timely and accurate responses.
• Generate reports on CDM activity, including charge capture trends, audit results, and compliance metrics.
• Ensure the integrity and accuracy of CDM-related data by performing regular data quality checks.
• Identify opportunities to improve charge capture processes and optimize revenue by analyzing CDM usage and patterns.
• Provide recommendations for enhancing the efficiency and accuracy of CDM-related operations.
Job Requirements
- 3+ years of experience in healthcare auditing, revenue integrity, revenue cycle management, healthcare finance, or a related field
- Minimum of 2 years’ experience as an analyst in a healthcare environment with emphasis on chargemaster, revenue capture, charge auditing, reporting and reimbursement.
- Must have 3 years of experience in a hospital or professional based CPT-4, HCPCS Level II coding and outpatient ICD-10-CM coding experience for multiple hospital departments.
- Strong knowledge of Chargemaster (CDM) management, including charge capture processes, coding (CPT, HCPCS, ICD-10), and compliance with CMS and third-party payer requirements.
- 2+ years of Epic experience, particularly in managing work queues and charge capture functions.
Benefits
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems – it’s all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do.