Internal Consultant – CRI CDM & Pricing
Location
Louisiana
Posted
101 days ago
Salary
Not specified
Seniority
Lead
Bachelor Degree10 yrs expExperience acceptedEnglish
Job Description
• Apply approved pricing methodologies to daily pricing requests across diverse facility types.
• Conduct ongoing audits of fee schedules to identify inconsistencies and opportunities to strengthen pricing integrity.
• Collaborate with clinical, financial, and operational teams to ensure pricing decisions are informed, executable, and aligned with organizational standards.
• Facilitate processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation.
• Support Epic CDM workflows and maintain pricing accuracy across systems.
• Contribute to high-visibility projects with zero-error tolerance.
• Stay current with federal and state regulatory requirements related to pricing transparency, reimbursement, and charge structure compliance.
Job Requirements
- 10 years of related professional experience; OR 5 years related professional experience with a bachelor's degree.
- Bachelor's degree in a related field or an advanced degree in finance, accounting, or business/health administration preferred.
- Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.) preferred.
- Mastery-level Excel skills (advanced formulas, modeling, pivot tables, etc.).
- Deep understanding of reimbursement models across various facility types.
- Proficiency in Epic charging workflows and CDM management.
- Strong interpersonal and leadership skills.
- Ability to work in a fast-paced environment with tight deadlines, and navigating the complexities of a large, integrated health system.
Benefits
- Health insurance
- 401(k) retirement plan
- Paid time off
- Flexible work arrangements
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