Revenue Integrity-CDM Analyst

Parkland Health - Dallas, TX

Full-time

Dallas, TX

Hospitals

About the position

The position is responsible for the Charge Description Master (CDM) setup and charge generation process, ensuring compliance with governmental payer requirements and preparing financial reports. The role involves working with EPIC IT teams to enhance charge accuracy, analyzing and reporting data, and providing insights to management based on available data resources.

Responsibilities

• Promote adherence to applicable State/Federal laws and regulations and accreditation agency requirements for third-party reimbursement.
• Identify, document, and report potential compliance issues, conducting audits to ensure compliance with laws and regulations.
• Analyze payer requirements to pursue reimbursement through cost report settlements or charge capture opportunities.
• Coordinate data for external audits, ensuring timely completion of projects and documentation of compliance issues.
• Identify opportunities for process improvement and lead department teams to implement changes.
• Act as a Revenue Integrity liaison with EPIC IT teams to maintain accurate charge flow.
• Assist in special projects related to reimbursement rules and chargemaster maintenance.
• Maintain positive relationships with other hospital departments to ensure thorough performance of responsibilities.

Requirements

• Bachelor's degree in Business Administration, Nursing, Accounting, or related field required.
• Two years of experience in health care required.
• Ability to pass an Intermediate-level Microsoft Excel test with a minimum score of 70%.
• Effective oral and written communication skills.
• Proficiency with computerized spreadsheet and word processing software.
• Understanding of Current Procedural Terminology (CPT), Healthcare Common Procedural Coding (HCPCS), and revenue codes.
• Proficiency in data analysis, relational databases, Excel, Access, and Word.
• Working knowledge of hospital operations and patient/financial accounting systems.
• Prior experience with EPIC EMR system preferred.

Nice-to-haves

• Experience with EPIC modules like Radiant and Beaker.