CDM Analyst - FT Days

Creating patient charge description documents based on coded medical records, training clinical staff in coding procedures, and making sure coding and charge descriptions are compliant with industry standards, legal mandates, and reporting requirements as well as the accuracy of medical coding charge descriptions, and hospital rates.

Essential Functions

• Responsible for the oversight of Charge Description Master functions
• Serve as a member of the Charge Master group including Finance, Materials Management, and Administration
• Responsible for building / maintaining charge codes
• Responsible for conducting quality control audits to ensure data/documentation integrity, and communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits within the operational units for Charge Description Master.
• Compile information and/or prepare reports and analyses setting forth results of data integrity findings with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action.
• Perform and follow up with appropriate health team members to ensure accurate and complete handling of Missing Charges and Billing.
• Works collaboratively with the appropriate operational leaders at each entity to develop necessary education strategies to promote complete and accurate clinical documentation, charge capture to mitigate and/or correct negative trends.
• Maintain high productivity and quality with minimal supervision.
• Yearly continuing education is required.

Minimum Knowledge and Skills Required

• Ability to understand and analyze payor regulations and the impact to the Chargemaster on reimbursement and coding guidelines
• Ability to multi-task and work under deadlines
• Possess effective time management skills
• Extensive knowledge of CPT/HCPCS, UB04 Revenue codes, modifiers, billing regulations and APCs
• Good understanding of the CDM and it’s relationship to General Ledger cost accounting, productivity, cost reporting and budgets.
• Ability to research complex coding and regulatory requirements.
• Strong Analytical Skills

Required Behavioral Skills

• Integrity:

-A personal presence which is characterized by a sense of honesty and the willingness to do the right thing.

-The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System

• Compassion:

-A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact.

-Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations.

• Accountability:

-Demonstrated track record of ownership of situations, projects and issues.

-Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes.

• Respect:

-Demonstrated ability to collaborate with a diverse population.

-Treat all internal and external customers with a positive, proactive service orientation.

• Excellence:

-Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion/decision making.

-Proven ability to think strategically but also must be able to lead day-to-day tactical processes.

-Demonstrated ability to manage and provide coaching and leadership on complex projects.

-Must be able to lead and/or facilitate process improvement.

Minimum Education/Experience Required

• Four years of related experience
• Coding Certification through AAPC or AHIMA

Preferred Education/Experience

• APC Coding/Revenue Integrity/CDM experience strongly preferred
• Cerner Millennium and Athena experience

Required License/Registration/Certification

• CPC, COC, RHIA, RHIT, CCS CCS-P or CPMA

Preferred License/Registration/Certification

• CPC, COC, RHIA, RHIT, CCS CCS-P or CPMA

We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.