CDM/Revenue Cycle Specialist
2 weeks ago
We are seeking a highly skilled CDM/Revenue Cycle Analyst to join our team at St. Luke's University Health Network. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and compliance of our Charge Description Master (CDM) and revenue cycle processes.
Key Responsibilities- Maintain and update the network CDM under the supervision of senior staff members, ensuring all hospital services are accurately represented.
- Participate in network audits and reviews to ensure compliance with third-party payer regulations and requirements.
- Verify the accuracy of payments received for services rendered, adhering to third-party payer contracts and payment protocols.
- Collaborate with clinical and revenue cycle staff to resolve issues and maintain volume within department work queues.
- Assist in establishing charges for new procedures, services, and supplies, utilizing established pricing methodologies.
- Ensure the CDM complies with third-party coding requirements, including UB04 revenue codes and HCPCS/CPT codes.
- Field customer service requests to ensure patient chart documentation supports applied charges.
- Update Outpatient Workers Compensation Fee Schedules quarterly.
- Review third-party correspondence to identify potential additions and revisions to the CDM/Epic system.
- Four-year degree in health administration, business, or a related field is preferred.
- Two years of CDM maintenance experience is preferred.
St. Luke's University Health Network is an Equal Opportunity Employer, committed to providing a work environment that is inclusive and respectful of all employees. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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