Charge Description Master Analyst I

CDM Analyst I

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 :

The CDM Analyst I analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness.

Job Competencies :

Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.

Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It's "All for One and One for All"

Accountability - Accepts personal responsibility and / or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.

Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.

Developing Trust - Gains others' confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.

Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.

Essential Job Functions :

Customer Obsession - Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas - Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence - Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

1 to 3 years of previous experience in a similar role

Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness

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

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

Accountable for resolving inventory-related edits by reviewing and updating charges as necessary to ensure accuracy and compliance.

Assist with implementation of software and providing education to clinical teams on workflow to enhance Chargemaster maintenance workflow.

Other Preferred Knowledge, Skills and Abilities :

Experience in the healthcare industry.

Charge Master, EAP and coding experience are highly preferred

Experience in physician and hospital operations, compliance and provider relations

Certifications :

CRCR, required within 9 months of hire (company paid)

Epic Certification preferred

AAPC, or similar certification preferred

Join an award-winning company :

Five-time winner of "Best in KLAS" 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

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 TA@ensemblehp.com.