• Date: October 24, 2023
• Location: Silver Spring, Maryland, United States

The position of Senior CDM Analyst is currently open in Silver Spring, Maryland. This role will report to the CDM Supervisor and requires expertise in charge workflows, billing compliance, and charge analysis in the pediatric medical setting. The Senior CDM Analyst’s responsibilities will include reviewing and analyzing charge workflows, pricing models, and logic for technical and/or professional services to ensure compliant billing practices.

Qualifications:

• Minimum Education: Associate’s Degree (Required); Bachelor’s Degree in a healthcare-related field (Preferred)
• Minimum Work Experience: 4 years of experience in charge capture, coding, or charge description master in a hospital environment for hospital and professional services (Required)
• Required Skills/Knowledge:
  • Excellent organizational and problem-solving skills
  • Ability to delegate assignments and follow through on details
  • Strong internal and external customer service skills
  • Ability to work effectively in a fast-paced environment and manage multiple tasks and priorities
• Required Licenses and Certifications: COC/CPC Coding Certification (Preferred)

Functional Accountabilities:

Department Strategic Planning:

• Validate and approve access to all charge workflows and charge corrections, as directed by the CDM Supervisor.
• Provide education and in-service training to departments in collaboration with the CDM Supervisor.
• Process complex CDM requests to ensure proper charging, billing, coding, and pricing practices.
• Conduct an annual review of the charge master and quarterly updates to enhance revenue.
• Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to ensure compliance with regulatory guidance.
• Distribute coding and billing regulatory requirements and/or announcements to applicable departments.
• Make CDM-related decisions that require significant analysis and investigation.
• Assist in developing and maintaining policies and procedures for the CDM, Pricing Policies, and charge capture processes.

Program and Service Administration and Implementation:

• Perform maintenance to the Charge Description and Service Master and the Room and Bed Master Files.
• Create and maintain all hospital transaction codes and revenue department codes.
• Monitor and report all revenue department’s charge volumes and posting lag days.
• Research and resolve all charge and service master related code errors.
• Participate in comprehensive reviews with clinical departments to ensure completeness and accuracy of the charge description master.
• Identify system and/or operational problems and participate in the development of solutions to improve billing functions.

Human Resources and Relationship Management:

• Serve as an expert resource for code and processing questions and educate coders.
• Maintain relationships with department administration, physicians, clinic administration, information services, billing offices, financial offices, and other departments.
• Participate in team meetings/activities and support the philosophy and goals of the team and department.
• Provide individual feedback and goal-setting recommendations as directed by the Sr Manager.
• Remain current with updated coding and billing regulations through yearly continuing education.

Organizational Accountabilities:

Organizational Accountabilities (Staff):

Organizational Commitment/Identification:

• Anticipate and respond to customer needs; follow up until needs are met.

Teamwork/Communication:

• Demonstrate collaborative and respectful behavior.
• Partner with all team members to achieve goals.
• Be receptive to others’ ideas and opinions.

Performance Improvement/Problem-solving:

• Contribute to a positive work environment.
• Demonstrate flexibility and willingness to change.
• Identify opportunities to improve clinical and administrative processes.
• Make appropriate decisions using sound judgment.

Cost Management/Financial Responsibility:

• Use resources efficiently.
• Search for less costly ways of doing things.

Safety:

• Speak up when team members exhibit unsafe behavior or performance.
• Continuously validate and verify information needed for decision-making or documentation.
• Stop in the face of uncertainty and take time to resolve the situation.
• Demonstrate accurate, clear, and timely verbal and written communication.
• Actively promote safety for patients, families, visitors, and co-workers.
• Attend carefully to important details, practicing “Stop, Think, Act, and Review” to self-check behavior and performance.

This full-time position offers a regular work schedule from Monday to Friday, 8:00 am to 5:00 pm.

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