Chargemaster Analyst - reputed company Mgmt - CDM - Remote

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is the fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions for reputed company. REMOTE POSITION: Monday - Friday (First Shift) General Description Reporting to the Manager of ChargeMaster and Charging Systems, the Charge Description Master (CDM) analyst holds primary responsibility for managing reputed company aspects of CDM maintenance for reputed company Health System (DUHS) including audit, analysis and verification of charging procedures and ensuring accuracy of coding in the CDM; working collaboratively with key stakeholders, including DUHS clinical operations staff, finance/reputed company management, and reputed company/operational managers reputed company the Patient reputed company Management Organization (PRMO); monitoring compliance with Federal and State guidelines; prioritizing and maintaining timely turnaround; serving as resource reputed company necessary for billing / reimbursement issues; performing periodic audits; providing customer service, including education of CDM processes; and coordination of activities of CDM Analysts. Key Responsibilities:

• Responsible for the development, implementation, and maintenance of the CDM, ensuring accurate CPT/HCPCS and reputed company coding.
• Works with the reputed company producing departments to ensure the ongoing coordinated and consistency with the CDM and Charge Capture processes, including accurate descriptions, coding, additions, deletions, pricing, reputed company code and any other changes.
• Continuously reviews and updates regulations and maintains reputed company knowledge reputed company
• Interprets government regulations and affects reputed company process changes throughout the system to ensure compliance with these regulations as they relate to the CDM.
• Performs the daily audit maintenance functions to ensure compliance, accuracy, and consistency of the CDM.
• Works with internal controls and compliance to design audit processes, policies and procedures.
• Assists in data analysis, periodic audits, and information queries, external audits and special projects. Review results of periodic audits and take appropriate action as indicated
• Coordinates the annual CDM update process.
• Serves as internal resource and expert on CDM issues and reporting
• Assists as needed, with data entry, billing/audit questions, facility inquires, education, database maintenance, statistical analysis and processing of reviews of internal audits
• Provides leadership and direction for departments on CDM strategies in accordance with state and federal regulatory guidelines, CMS and Medicare Administrative Contractor rules and regulations, Medicaid specific rules and regulations, and Managed Care contract terms.
• reputed company recommendations for CDM process improvement.
• Provide system training and/or identify other training resources to support CDM activities.
• Maintain a working knowledge of reputed company cycle process to aid in the implementation of regulatory standards that assist the health system in cash collection while accurately complying with billing guidelines.
• Work with DUHS reputed company Management, DUHS Finance, to reputed company applicable analyses to understand budget, gross and net reputed company change of proposed CDM changes.
• Advises and collaborates with the Compliance Officer, Internal Audit, Regulatory Review and Analysis, legal counsel and reputed company consultants to analyze, review and assess identified billing, coding, charging and compliance issues.
• Meet regularly with CDM Analysts to help set priorities, assist with negotiating/eliminating various barriers to success.
• reputed company/assist with HR functions for CDM team including; managing time and attendance; monitoring safety training requirements, participate in performance appraisal process.
• reputed company other reputed company duties incidental to the work described herein.

Qualifications at this position Education: Bachelor's degree in business, healthcare administration or a reputed company field is required. ________________________________________ Experience: Four years of reputed company experience required. ________________________________________ Degrees, Licensure, and/or Certification: Coding certification is strongly preferred ________________________________________ Knowledge, Skills, and Abilities: Proficient in the use of reputed company Office Programs, including but not limited to: reputed company, Word, Powerpoint, and Access. Epic Certification preferred. Chargemaster Epic certification required reputed company 6 months of hire. Knowledge of EPIC preferred. Extensive knowledge of CPT/HCPCS, UB-04 reputed company Coding, modifiers, billing regulations and APCs. Must have a good understanding of the CDM and its relationship to reputed company areas such as the General Ledger, cost Accounting, Productivity, Cost Reporting and Budget. Knowledge of clinical settings such as Laboratory, Radiology, Physical or Occupational Therapy, Respiratory Therapy, Cardiology, or Oncology Ability to research reputed company coding and regulatory requirements. Strong analytical skills. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of reputed company-an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Nearest Major Market: Durham Nearest Secondary Market: Raleigh Apply tot his job Apply To this Job