CDM Analyst - Decision Support - FT Days

ESSENTIAL RESPONSIBILITIES:

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Update and maintain the chargemaster with current and accurate CPT, HCPCS, revenue codes, charge descriptions, and prices.
• Audit billing and coding practices to ensure compliance with applicable guidelines and to maximize revenue collection.
• Create and analyze reports to ensure productivity, efficiency, accuracy, and data integrity.
• Design and implement corrective action reports to correct missing or invalid data.
• Act in accordance with the established mission, vision, and values.
• Abide by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
• Maintain effective communication and professional working relationships with patients/clients and their representatives, team members, contractors, physicians, peers, outside agencies, and the public.

GENERAL RESPONSIBILITIES:

• Perform other duties as assigned.

SUPERVISORY/MANAGEMENT RESPONSIBILITIES:

Does this position have supervisory or management responsibilities?: No

“Yes” indicates that this position entails overseeing and guiding team members, encompassing employment decisions and/or suggestions, as well as conducting formal performance assessments.

"No" indicates that this position does not involve supervising team members.

MINIMUM QUALIFICATIONS:

Required Education and Experience

• High school diploma or GED equivalent
• 4 years of billing, coding, revenue integrity, or chargemaster experience

Required License/Certifications/Registrations

• none

PREFERRED QUALIFICATIONS:

Preferred Education and Experience

• Associate’s degree in a related field
• Experience using Cerner Millennium or Athena

Preferred License/Certifications/Registrations

• Industry recognized certification for coding, billing, medical auditing, or a related field.

KNOWLEDGE, SKILLS and ABILITIES:

• Intermediate computer skills
• Multi-tasking and prioritization skills
• Detail oriented
• Extensive knowledge of CPT/HCPS, UB04 revenue codes, modifiers, billing regulations, and APC
• Working knowledge of the CDM and its relationship to general ledger cost accounting, productivity, cost reporting, and budgets.

PHYSICAL REQUIREMENTS:

With or without accommodation.

• Sedentary Work: Occasionally exerting up to 10 lbs - frequently exerting up to 5 lbs. Less than 10% of the day may be standing or walking.