CDM Analyst I Job at Baptist Health (Florida) (Jacksonville)

Analyst, Professional Billing

Location

United States , Westwood

Salary:

69888.00 - 111831.20 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s Degree or equivalent experience
Minimum of 4 years’ related Physician Billing work experience with a primary role relative to Technology, Operations, or Finance

Job Responsibility

Develops and maintains an environment of customer service, continued learning and increased communication within the PO and hospital departments by coordinating revenue cycle policies, practices, identifying issues, trends, and provide solutions through analytic and administrative tools to meet business needs
Serves as primary analytic point of contact for Service Line Directors, Managers, Finance Directors, clinical support staff, physicians, allied health care providers, hospital colleagues and others regarding matters that relate to aspects of professional revenue
Provides operational supervision of the functional areas, including understanding, monitoring and improving work-flow and processes within multiple PO functions/areas, monitoring staff schedules, assisting on day to day problem resolution and troubleshooting
Assures that staff accomplishes all assigned tasks in an efficient and timely manner
Responsibilities are performed independently within established department policies and procedures, this position is responsible for improving revenue cycle workflow, efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements and/or modifications
Works closely with department heads, other hospital personnel and executives for the purposes of information gathering to enhance revenue cycle opportunities
Seeks opportunities to gather information or knowledge from others outside of the department
Works closely across enterprise with manager, peers, and leadership sharing critical information and statistical data, while developing procedures for operational improvement on a recurring basis
Extracts and complies data from various system sources to develop sound analyses leading to potential revenue cycle opportunities, conducting analyses related to CDM setup, charge capture, billing, and/or collections
Understands end goal of analysis, as a means to project data needs and requirements for timely and appropriate issue escalation or resolution

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Director of Revenue Integrity

The Director of Revenue Integrity is a newly created position that will lead and...

Location

United States , Carrollton

Salary:

Not provided

Kirby Bates Associates

Expiration Date

Until further notice

Requirements

Bachelor's degree required
Minimum of 10 years of hospital revenue integrity experience, including 5 years in a leadership or management role within revenue integrity
Deep knowledge of CDM management, charge capture processes, denial prevention, and revenue reconciliation
Strong understanding of payer reimbursement methodologies (DRG/APR-DRG, OPPS, ASC, per diem, percent of charges) and CMS regulations
Proven ability to analyze KPIs, conduct audits, and implement corrective actions to improve financial performance
Epic and Craneware Trisus experience highly preferred

Job Responsibility

Lead enterprise-wide revenue integrity strategy and performance
Oversee charge capture, revenue reconciliation, Charge Description Master (CDM), denial prevention, and revenue analytics
Serve as key liaison between revenue cycle and clinical departments
Maximize gross and net revenue, ensure regulatory compliance, reduce financial leakage
Lead a team comprised of a CDM Coordinator, Charge Coordinator Specialists, a Clinical Auditor, and a Denial Prevention Analyst

Fulltime

Revenue Integrity Analyst

Location

United States , Loudonville

Salary:

65000.00 - 85000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in revenue cycle, revenue integrity, or chargemaster/CDM maintenance
Strong understanding of hospital billing, coding (CPT/HCPCS), and reimbursement methodologies
Direct experience working with a chargemaster (CDM) required
Familiarity with Epic Resolute, Cerner, or similar systems preferred
Experience in audit, compliance, or charge capture analysis highly preferred
Strong analytical skills and ability to work cross-functionally

Job Responsibility

Maintain and update the chargemaster (CDM), including pricing, coding alignment, and regulatory compliance
Review and validate charge capture processes to ensure accurate and complete billing
Collaborate with clinical departments, coding, and billing teams to resolve discrepancies
Conduct revenue integrity audits and identify opportunities to improve reimbursement and reduce leakage
Ensure compliance with Medicare/Medicaid, payer guidelines, and CMS regulations
Support implementation and optimization of billing system updates (Epic, Cerner, etc.)
Analyze reimbursement trends and assist with pricing and charge structure updates

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan
Free online training

Fulltime

Care Management Operations Analyst

The Care Management Operations Analyst serves as a subject matter expert and pro...

Location

United States

Salary:

72800.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor’s degree preferred, or minimum three years of formal training experience in health care service capacity
Demonstrated success leading or contributing to cross‑functional process improvement initiatives
Experience developing or supporting automation, workflow optimization, or reporting enhancements
Ability to translate ambiguous operational needs into clear process or technical requirements
Experience supporting complex implementations, regulatory changes, or client onboarding activities
Working knowledge of standard office software and systems
The ability to work on multiple screens, and proficient typing skills
Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook
Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Ability to work independently and utilize written resources to solve problems

Job Responsibility

Analyze and support end-to-end non-clinical workflows across CM, CDM, and UM programs
Translate operational and clinical requirements into process maps, functional requirements, SOPs, and job aids
Identify workflow gaps, inefficiencies, and risks impacting throughput, turnaround time, or documentation quality
Support intake, referral, authorization, follow-up, and task management workflows
Develop and maintain operational reporting, dashboards, and performance metrics
Support workflow automation and system optimization initiatives
Support planning, testing, and release activities for system and process changes
Support implementation of new tools, enhancements, regulatory requirements, or client initiatives
Partner with clinical, quality, IT, and analytics teams to ensure operational alignment
Support audit and compliance readiness through process standardization and traceability

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Revenue Integrity Analyst

Medasource is seeking a mid-level Revenue Integrity Analyst to support a Charge ...

Location

United States , Skokie

Salary:

26.00 - 30.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

3–5 years of hospital revenue cycle or revenue integrity experience
Direct experience maintaining or updating a Charge Description Master
Exposure to Epic Resolute HB workflows (build experience a plus, but not required)
Working knowledge of CPT, HCPCS, revenue codes, modifiers, and basic reimbursement structures (DRG/APC)
Experience participating in system testing or conversion projects
Strong Excel skills and attention to detail

Job Responsibility

Perform hands-on CDM build and updates within Epic under the direction of Revenue Integrity leadership
Map legacy charge data into Epic, validating CPT/HCPCS codes, revenue codes, and pricing
Assist with charge configuration validation in Epic (Resolute HB and Charge Router workflows)
Support charge testing during system build and integrated testing phases
Identify charge discrepancies and escalate issues appropriately
Validate compliance with CMS and payer billing requirements
Support go-live preparation and stabilization efforts post-implementation

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs
401k plan that includes a company match and is fully vested after you become eligible
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching

Clinical Trial Financial Analyst

Responsible for the coordination and creation of a coverage analyses for all cli...

Location

United States , Southlake

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

High School Graduate
3 or more years of experience in Clinical Research Billing and/or Billing Compliance
2 or more years of experience in Budgeting and Medicare Coverage Analysis Development
A demonstrated understanding of Research Billing Compliance including National Coverage Determination for coverage of routine costs and the CMS Clinical Research Policy
A demonstrated knowledge of regulatory, financial and administrative requirements of Medicare and third party billing of clinical trials
Proficient in Excel, Word, PowerPoint
Proficiency in Medical Terminology

Job Responsibility

Creates coverage analysis grids and analyzes the performance of the actual coverage analysis, using CMS regulations, FDA guidance, Good Clinical Practice guidelines, and ethical policies when performing coverage analyses
Researches and applies policies, guidance, and guidelines from various sources including federal and state regulatory agencies and The University of Kansas Hospital policies
Responsible for the dissemination of relevant documents and information to various parties
Performs basic and complex billing and budget analysis in accordance with CMS regulations for all clinical trials performed at The University of Kansas Hospital and affiliates
Serves as liaison to the budget & financial analysts at the KUMC Research Institute and the KU Cancer Center Clinical Trials Office, collaborating closely to ensure that the clinical trial budget, coverage analysis, and billing matrix are all consistent and appropriate
Develops billing matrices and coverage analyses including reviewing each potentially billable item within the clinical trial and citing specific resources for the justification of appropriate designations
Applies the appropriate CDM and CPT code for potentially-billable items in the coverage analysis in order to assist Patient Financial Services in the management of claims review, as well as identifying items that are to be billed to the study sponsor by the KUMC Research Institute
Assists as needed with claims review in distinguishing research charges billed to the study versus those that may be billed to insurance payors
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department

Fulltime

Revenue Cycle Analyst

We are looking for an experienced Revenue Cycle Analyst to join our team in Chic...

Location

United States , Addison

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 5 years of experience in healthcare revenue cycle operations, including billing, accounts receivable, and denials management
Familiarity with supply chain, clinical operations, coding, or general ledger environments
Proficiency in strategic pricing and reimbursement processes within a healthcare setting
Strong understanding of compliance standards and regulations related to hospital revenue cycles
Expertise in healthcare revenue cycle processes, medical billing, and claims management
Ability to utilize KPI reporting tools effectively to monitor performance
Exceptional analytical skills to develop actionable insights from complex data
Strong communication skills to collaborate across multidisciplinary teams

Job Responsibility

Ensure daily revenue integrity processes are executed, including accurate and compliant charge capture across departments
Develop and deliver training programs to promote best practices in revenue integrity
Conduct reviews of revenue operations and present findings with actionable recommendations to leadership
Collaborate with Charge Description Master (CDM) teams to support updates and maintenance of charge master systems
Create and maintain analytical reports to track charge capture activities and compliance metrics
Monitor regulatory changes impacting reimbursement and adjust revenue integrity programs accordingly
Work closely with departments such as Supply Chain, Coding, Clinical Operations, and Finance to streamline charge capture processes
Provide data-driven insights to support strategic pricing and reimbursement initiatives
Maintain dashboards to track revenue integrity progress and identify trends in reimbursement
Act as a subject matter expert for staff on operational and revenue cycle matters

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Charge Master Analyst II

The Charge Master Analyst II will be responsible for ensuring accurate patient b...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent years of experience required
1-3 years of experience in Hospital Billing, Compliance, and Audit preferred
Epic Certification Preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Responsible for the Charge Description Master (CDM) maintenance process for the CHRISTUS enterprise including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed
This includes the upkeep of mapping tables from legacy CDM to CHRISTUS standard CDM
Coordinate the interaction with Regional Leadership and Directors regarding implementation of new or revised codes
Coordinate the research, analysis, education of CDM changes as appropriate
Coordinate revenue capture and charge audit procedures with regional patient financial services, hospital information management (HIM), information services and regional department directors and/or managers Oversee the development of policies and procedures to ensure CDM updates are appropriately identified, adhere to necessary regulations and standards, are reviewed, approved and communicated to appropriate regional staff and implemented in a timely manner
Ensures accurate patient billing according to governmental policies and CHRISTUS compliance and integrity policy

Fulltime

Select Country

CDM Analyst I

Job Description

Job Responsibility

Requirements

Looking for more opportunities?

CDM Analyst I

Analyst, Professional Billing

Director of Revenue Integrity

Revenue Integrity Analyst

Care Management Operations Analyst

Revenue Integrity Analyst

Clinical Trial Financial Analyst

Revenue Cycle Analyst

Charge Master Analyst II

Our AI answers in your language