Job Description
This is a remote position.
The CDM Analyst is a
fully remote role responsible for oversight and maintenance of the hospital and professional Charge Description Master (CDM) within the Phoenix Children’s Hospital and all subsidiaries. As part of Revenue Integrity Department, the CDM Analyst will collaborate with multiple teams to ensure an efficient CDM maintenance process exists, resulting in clean and compliant claims. This position acts as liaison, problem solver and facilitator for CDM issues with Administration, Insurance Companies, Clinical Departments, Health Information Management, Utilization Management, Managed Care, Corporate Compliance and Revenue Cycle.
Certifications
- Coding credential through AHIMA or AAPC (e.g., CPC, COC, CCS, CIRCC, RHIT, etc.).
- Healthcare Compliance credential (e.g., CHC, CRCM, CCEP, etc.).
Education
- Bachelor`s degree in business, finance, data analytics, healthcare administration or health information management
Experience
- Experience with hospital and professional coding guidelines, revenue audits, reimbursement methodologies, and system integration with the CDM relative to charge capture.
- Five (5) years of healthcare revenue cycle experience demonstrating extensive CDM and compliance experience, ability to collaborate with multidisciplinary teams, and a solid foundational knowledge of general healthcare billing, Federal and State regulatory guidelines and payer policies, and compliant charge capture.
- Career appropriate experience based on job description essential functions.
Special Skills
- Sound knowledge of general healthcare billing, payer contracting and reimbursement, and applicable Federal and State laws and regulations related to the healthcare industry.
- Expert knowledge of hospital and professional CDM structure and coding rules with effective research skills to ensure accuracy and compliance with regulatory guidance.
- Proven ability to determine key business issues and develop effective action plans from multi-disciplinary perspectives.
- Demonstrated ability to effectively maintain subsystem integration with the CDM to optimize charge capture, identify revenue leakage and assist with root cause analysis.
- Excellent organizational and project management skills with a focus on time sensitive management and the ability to prioritize.
- Ability to impact change through influence and collaboration.
- Excellent communication and interpersonal skills, with the ability to communicate effectively in English, both verbally and in writing.
- Self-starter, well organized, and detail oriented.
- Proficient in electronic health systems.
- Proficient with Microsoft Office applications including: Outlook, Word, Excel, PowerPoint, Visio, and Access.
Preferred Qualifications
- LEAN or Six Sigma training and certification
- Nursing credential (e.g., RN, etc.).
Education
- MBA, MSN or Master`s Degree
- Substantial Relocation Assistance
- Competitive pay with incentives
- 401(k) Retirement Plan with company match
- Health, Dental vision and life insurance beginning the first day of the month following hire date
- Tuition reimbursement
- DailyPay
- Childcare discounts and much more!
Education Bachelors Degree in related field or Bachelors Degree in non-related field with relevant experience. Experience Three or more years of experience sourcing and administering research contracts in a higher education, non-profit, industry, or other related setting. Special Skills Excellent verbal communication and research skills. Advanced knowledge of Microsoft Word and Excel Preferred Masters Degree or Paralegal. Experience Strong biomedical writing experience, contract drafting and/or grant or other writing experience in research. Experience with contracts related to intellectual property, licensing, confidentiality, academic collaborations, publication, materials transfer, consulting, technology transfer, and/or clinical trial agreements. Special Skills Knowledge of contracts management systems.