CDM Auditor

Description

ThIs role is fully remote however the manager would like candidates who reside in CA and have experience working in CA

Duties: Job Summary:

CDM Auditor will assist the Chargemaster, RCM team in maintaining and analyzing the Charge Master (CDM) for charge component and revenue cycle integrity; monitoring compliance with Federal and State guidelines, performing periodic audits and provide education of Charge Description Master.

Job Responsibilities:

• Assist with the maintenance of CDM due to regulatory requirements as well as requests for services including but not limited to charge description, revenue Code, CPT, modifiers and cost center for updates to the A/R system.
• Works collaboratively with IS to support applications and their subsystems for order entry and subsequent charges for specific discipline, i.e. laboratory, imaging, cardiology.
• Serves as a resource for staff throughout the health system involved in the revenue generation and charge master related issues and provides education on use of the Charge Master on the charging regulations.
• Assures Charge Navigators are optimal and user friendly with CPT details for accurate charging.
• Collaborates with ancillary systems and assigns appropriate CDM’s for ordered procedures, supplies and implants.

Required Skills & Experience:

• Two (2) years of experience in Chargemaster, Revenue Integrity, Auditing, Utilization Management, Coding, or Hospital Billing. 
• Working knowledge of CPT, HCPCS Level II, Local Level III, and ICD10 coding and associated clinical expertise.
• Demonstrate a high level of critical thinking skills.
• Utilizes Excel for reports and data analyses.
• Epic Resolute Hospital Billing.
• Competent with MS Office with strong emphasis/skilled on Excel. 

Preferred Certifications & Licensure:

• CPC, CCS, or relevant coding or auditing certification.