The Charge Description Master (CDM) Analyst will be responsible for driving revenue optimization by maintaining an accurate and compliant CDM, ensuring Medicare and other Federal regulations are met. You will be focused on operational excellence, providing operational direction and oversight for our client’s charging improvement processes.
Responsibilities:
Ensure the client’s CDM is accurate and compliant with Medicare and other federal agency regulations
Focus on development, performance and growth of direct reports
Motivate and mentor CDM Coordinator, reviewing work and providing continual feedback to promote professional growth
Drive team performance to high achievement and high-quality outcomes
Managing time effectively, performing tasks accurately and meeting set timelines
Process CDM requests received from the clinical departments, or others, researching references and regulations to ensure correct coding/charging through the CDM
Identify root cause issues and escalate to Manager, as appropriate
Work best practice reports and assist clinical departments with billing and compliance issues utilizing the CDM tools available
Independently manage daily process/functions for assigned projects
Perform clinical department CDM desk reviews as scheduled, meeting timelines set
Review/identify/analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set
Act as subject matter expert for responsible areas, communicating knowledge to clients and internal staff
Effectively facilitates department and/or client meetings, demonstrating a high level of comfort developing agendas and work plans that drive results
Attend client held meetings supporting revenue cycle processes as they pertain to your role
Attend meetings/educational sessions to maintain knowledge base; maintaining credentials as applicable
Oversight for 1-2 client CDM teams
Required Qualifications:
Bachelors degree or equivalent experience
Minimum of 2 years’ experience working as a CDM Coordinator or equivalent role
Desired Qualifications:
Coding certificate or clinical licensing/certifications (BSN, RN, LPN, RT, RCC, CRTT, RHIA, CPC, CCS, CIRCC, etc.)
Physical Requirements:
See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands.
Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment.
Frequent interactions with associates, patient care providers, patients, and visitors that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding patients, etc.
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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