Analyst, CDM I

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $51,700 – $99,000 based on experience

The CDM Analyst is responsible for analyzing the charge master and conduct financial reviews to determine charge accuracy and comprehensiveness.

Job Responsibilities:

• Reviews include observance of operational procedures (enhanced business practices), documentation reviews, validation of data entry and final data capture and other aspects of operational audits. Reviews may be conducted with assistance from clinical staff, coordinate with External and Internal Audit and Compliance staff.

• Ensures accurate establishment of clinical charges, descriptions and billing codes in the charge master.

• Ensures accurate cross-walk of charge master details with underlying clinical systems used for charge capture and clinical documentation.

• Ensures compliance with pricing policy.

• Leads efforts of multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital price master.

• Leads other multi-disciplinary work groups in revenue enhancement projects including Denial Management and APC Billing committees.

• Working with groups, also develops new areas of review for future revenue enhancement. Groups may include representatives from various clinical areas, Coding, Medical Records, Billing, Compliance and Information Systems. Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. 

• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. 

• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.

• Provides guidance to and supports clinical departmental needs on questions, process, status and planned changes or updates to the charge master. Manages communication of routine changes to coding and billing protocols and conventions to affected clinical departments.

• Performs other duties as assigned.

Experience We Love:

• 4 year/Bachelor's Degree. Combination of post-secondary education and experience will be considered in lieu of degree

• Six years of experience in the healthcare industry is required. Charge Master, EAP and coding experience are highly preferred.

• Experience in physician and hospital operations, compliance and provider relations.

Certifications:

• Certifications in patient access or patient accounting. Coding certification highly preferred

• CRCR Required within 9 months of hire

#LI-LS1

#LI-REMOTE

Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 

• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.

• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 

• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

EEOC – Know Your Rights
FMLA Rights - English

La FMLA Español