Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)
Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)
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Job Description
Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)
We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance compliance and optimization of the hospital Charge Description Master (CDM). The ideal candidate will possess advanced knowledge of Epic (required) and Meditech (preferred) systems and collaborate cross-functionally with clinical financial coding and IT teams to ensure accurate and regulatory-compliant charge capture.
Responsibilities
New Charge Requests & Clinical Documentation Review:
- Review clinical documentation to validate appropriate charge code builds and resolve charge suspense issues
- Process and evaluate new charge requests across departments and facilities
- Ensure correct billing configuration across Epic and Meditech modules
Chargemaster Maintenance:
- Builds new charges by reviewing assigning and validating CPT/HCPCS and revenue codes and setting prices
- Review CPT-4 HCPCS and revenue code updates regularly
- Maintain the CDM with timely updates driven by regulatory changes and department requests
- Ensures the ongoing accuracy and integrity of the CDM by making sure all charges are communicated and coordinated with the performing departments
Charge Capture Auditing & Compliance:
- Audit charge capture for inpatient outpatient clinic ED and ambulatory services
- Work with HIM and billing teams to support rebilling and correction processes as needed
Coding & Billing Accuracy:
- Audit and validate charge integrity in Epic and Meditech systems
- Coordinate billing code corrections with PFS HIM and clinical stakeholders
- Monitor compliance with CMS and third-party payer requirements
System Administration & Regulatory Support:
- Support implementation of regulatory coding changes and ensure CDM compliance across systems
- Assist in resolving problems causing payer denial or failed Medicare edits as they involve the chargemaster
- Coordinate with IT and clinical departments to ensure alignment of charging workflows
- Ensures all impacted systems are updated with new /revised charge codes
- Ensures deleted charge codes are removed from charging workflows and systems
- Other duties and/or projects as assigned
Qualifications
- Bachelors degree in Accounting or an equivalent combination of education and experience
- 5 years of experience in hospital chargemaster maintenance and medical coding.
- Certified Professional Coder (CPC) or equivalent credential required
- Proficient in CPT HCPCS revenue codes and Medicare billing regulations.
- Advanced proficiency in Epic especially in EAP configuration and charge workflows.
- Strong analytical skills and proficiency in Excel and related tools.
- Epic certification in Charging or Billing is highly desirable.
- Experience with Meditech and legacy systems preferred.
- Background in Revenue Integrity Health Information Management or financial analysis preferred.
- Strong interpersonal skills with the ability to communicate across clinical financial and IT departments preferred.
- Up-to-date knowledge of payer regulations and healthcare compliance standards preferred.
Non-Bargaining Unit 506 - Chargemaster/Projects - MSH Mount Sinai Hospital
Required Experience:
Senior IC
Employment Type
Full-Time
