CDM/Revenue Cycle Specialist

3 weeks ago


Allentown, Pennsylvania, United States St. Luke's University Health Network Full time

Job Summary:

St. Luke's University Health Network is seeking a skilled CDM/Revenue Cycle Analyst to join our team. 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) under the direct supervision of senior level staff members.

Key Responsibilities:

  • Maintain and update the network CDM to ensure reimbursement maximization and compliance with third-party payer regulations.
  • Assist in the establishment of charges for new procedures, services, and supplies, and ensure that the CDM complies with third-party coding requirements.
  • Verify the accuracy of payments received for services rendered and identify possible additions and/or revisions to the CDM/Epic system.
  • Field customer service requests to ensure patient chart documentation supports the charges applied to the patient account.
  • Update Outpatient Workers Compensation Fee Schedules on a quarterly basis.
  • Comply with all hospital and departmental policies and procedures, and maintain confidentiality of all materials handled within the Network/Entity.

Requirements:

  • Four-year degree in health administration, business, or related field is preferred.
  • Two years of CDM maintenance experience is preferred.

About St. Luke's University Health Network:

St. Luke's University Health Network is an Equal Opportunity Employer, committed to providing excellent patient care and service to our community.


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