CDM Analyst

Position Summary:

The Charge Description Master (CDM) Analyst is responsible for the accuracy, maintenance, and compliance of the CDM within a MEDITECH environment. This role ensures compliant revenue capture and pricing by ensuring charges are built, routed, and maintained in alignment with CMS, Federal, and State regulatory requirements and within established HSA governance standards. The analyst serves as a CDM subject matter expert, collaborating with clinical, financial, compliance, contracting, and IT stakeholders to support Revenue Integrity and regulatory compliance.

Essential Job Functions:

The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.

% Effort

CDM BuildMaintenance

Build, maintain,audit CDM records within Meditech, including procedures, supplies, implants, pharmaceuticals,ancillary services.

Researchmaintain charge attributes such as revenue codes, CPT/HCPCS, modifiers, units, charge methods, and effective dates in accordance with regulatory guidelines.

Perform departmental CDM reviews to ensure all billable services are identified, annually at minimum.

Ensure consistency between CDM build, clinical workflows,downstream billing processes.

Manage CDM change requests using established governanceapproval processes.

Assists with charge ticketcharge workflow updates.

35%

Pricing

• Builds, updates, &validates CDM pricing in accordance with approved pricing methodologies and organizational policies.
• Support annualinterim pricing updates, including systemwide and departmentspecific pricing changes.
• Performs pricing validationCDM pricing audits to identifycorrect inconsistencies.
• Maintains supporting documentation for pricing changes, including rationaleapproval evidence, to support audit readiness.

25%

ReportingAnalytics

• Developanalyze CDM and pricing reports utilizing Meditech reporting toolsExcel.
• Conducts pricing impact analytics related to CDM changes, new supplies, implants,procedures to identify revenue risk or under/overcharging.
• Identify trends, risks,opportunities related to CDMpricing integrity.
• Present findingsrecommendations to VP Revenue Integrity.

20%

Revenue IntegrityCompliance

• Ensure CDM compliance with CMS, OIG, Medicare billing rules,payer guidelines.
• Collaborate with HIM, Compliance,Coding to ensure accurate code mappingregulatory adherence.
• Maintain documentation supporting complaint CDM buildcharging practices.

10%

Cross-Functional Collaboration

• Serve as Meditech CDM subject matter expert for clinical departmentsoperational leaders.
• Collaborate with departments to support new charge build, charge corrections,workflow optimization.
• Collaborates with Revenue Integrity, Finance, Supply Chain, and clinical departments to ensure CDM accuracycharge capture integrity.
• Support CMS Price Transparency, No Surprises Act requirements,other duties as assigned.

10%

Total Effort:

100%

Core Organizational Values:

We are a coordinated network of hospitals, affiliated medical groups and ancillary health care services working for the benefit of every person who relies on and trusts us for care. Our comprehensive networks aim to provide coordinated, personalized care. Through our affiliated networks, we strive to provide a healing environment and quality care by demonstrating the following organizational core values:

• TEAMWORK: We recognize trusting relationships are key to achieving success.
• INTEGRITY: We are down-to-earth, honest and approachable.
• ACCOUNTABILITY: We honor our commitments and focus on "how it can be done".
• INNOVATION: We embrace change and continually seek new ways to improve.
• COMPASSION: We understand and reflect the diverse communities we serve.
• EXCELLENCE: We are committed to the highest quality and safety standards.

Required Qualifications:

• Bachelor's degree in healthcare administration, Finance, Business, or related field (or equivalent experience).
• 3-5+ years of hospital Chargemaster experience, preferably in a MEDITECH environment.
• Migration or system implementation experience preferred.
• Proficient understanding of complex, multi-market hospital structure with multiple service lines.
• Ability to interpret Medicare and NCCI guidelines, National and Local Coverage Determinations to support CDM integrity.
• Strong critical thinking skills and ability to multitask and maintain a work pace appropriate to workload.
• Effective written communication skills.
• Must demonstrate customer service skills appropriate to the job.

Certifications (Preferred):

• CHRI - Certified Healthcare Revenue Integrity
• CRCR - Certified Revenue Cycle Representative
• CPC, CCS, or other coding certification
• MEDITECH training or certification