Revenue Intergrity Chargemaster Analyst - 248508

Revenue Integrity Chargemaster Analyst -

Base pay range: $65,000.00/yr - $100,000.00/yr

Full‑Time | Remote (Some location restrictions apply)

An established healthcare organization is seeking a Revenue Integrity Chargemaster Analyst to support the integrity of the revenue capture system and ensure accurate, compliant charge processes. This role plays a vital part in the organization’s financial health through maintenance of the chargemaster (CDM), auditing, and collaboration with clinical and revenue cycle teams.

Key Responsibilities

• Maintain and update the chargemaster (CDM) including CPT, HCPCS, pricing, and revenue codes.
• Review, approve, and build new charges; ensure integration across related systems.
• Update CDM annually (AMA CPT) and quarterly (CMS HCPCS).
• Serve as primary liaison to clinical departments for coding updates and charge‑related changes.
• Conduct prospective chart audits to ensure billing accuracy and compliant charge capture.
• Oversee billing edits including CCI and MUE; partner with departments to reduce pre‑bill edits.
• Track edit volumes and assist departments with resolving recurring issues.
• Participate in compliance investigations, corrective action plans, and follow‑up reviews.
• Work cross‑functionally with Information Management, Professional Billing, and other revenue cycle teams.
• Provide education on coding, charge creation, and billing guidelines.
• Identify opportunities for improvement within CDM use, charge reconciliation, and workflow efficiency.
• Participate in organizational projects, price increases, and system upgrades.
• Support development and execution of the annual Revenue Integrity Workplan.
• Maintain understanding of Medicare, Medicaid, and commercial payer billing regulations.
• Ensure accurate fee schedules and assist with annual pricing updates.

Qualifications

• Coding credential: CPC, COC, CCS, CCA, or CCS-P (Candidates may obtain certification within 6 months of hire).
• 3+ years of CDM experience.
• Epic Charge Capture certification required within one year.
• Strong analytical, financial, and research skills.
• Proficiency in Microsoft Excel, Word, and PowerPoint.
• Excellent communication skills (verbal and written).
• Ability to work independently with strong attention to detail.

• EPIC experience.
• Clinical discipline background.
• PB and HB coding experience.
• Experience in academic or complex healthcare environments.

• Analytical, forward‑thinking, and solutions‑oriented.
• Strong communicator across multidisciplinary teams.
• Able to multitask and adapt to changing priorities.
• Tech‑savvy and comfortable with EMR systems.
• Independent, self‑motivated, and detail‑driven.

Role Logistics

• Schedule: Monday–Friday; flexible start between 7 AM–9 AM.
• Work Model: Primarily remote.
• Onsite for the first day of orientation if located in the Chicagoland area.
• Quarterly in‑person department meetings for local candidates.
• Fully remote for candidates outside the region.
• Equipment: Provided.
• Training: Hands‑on, ongoing training with department leadership, supported by training videos and team resources.
• Location Restrictions: Not eligible for candidates residing in CA, CO, HI, MD, MN, MA, NJ, NY, OH, OR, PA, RI, WA.

Day‑to‑Day

• Manage CCI edits and work queues; enhance team processes.
• Oversee charge creation, testing, and validation.
• Ensure CDM accuracy and annual code updates.
• Perform charge reconciliation reviews and identify improvement opportunities.
• Collaborate closely with Information Management, Professional Billing, and reimbursement teams.
• Conduct quality checks to ensure correct charge capture.

Hours: 8 hour shift, consistent between 7 AM and 7 PM.

Benefits inferred from description

• Medical insurance
• Vision insurance
• 401(k)
• Student loan assistance
• Tuition assistance

Categories

• Seniority level: Associate
• Employment type: Full‑time
• Job function: Analyst and Administrative
• Industries: Staffing and Recruiting; Hospitals and Health Care