Advanced CDM Analyst

is not intended to be all- inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Reviews charges by cost center daily to determine reasonableness and researches any outliers.
• Collaborates with the Revenue Integrity Nurse Auditors and the Denials team to establish front end Revenue Guardian checks to improve pre-bill charge accuracy.
• Works Revenue Guardian work queue daily, identifies pattens in charge capture

opportunities and communicates with departments to identify charge accuracy process improvements.

• Reviews and maintains all CDM maintenance activity including data entry. May coordinate with leaders/team to assist with special projects related to price increases, annual CPT code updates, special requests from clients, system conversions, or implementation of new CDM tools. May include other duties and/or special projects not listed. Compile, download, and distribution of statistical CDM information.
• Assists with reports and tasks directly related to the chargemaster as assigned.
• Performs reconciliation of data input in order to ensure accuracy of CDM.
• May assist in training and/or education related to new staff, department staff, and client after experience and competence has been documented.
• Other duties as assigned.

EDUCATION AND/OR EXPERIENCE

Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.