Charge Master Analyst - Revenue Cycle

Under the direction of the CDM & CGT Maintenance Manager, this position is responsible for coordinating the charge master system and function, including maintaining a complete, accurate, and standardized chargemaster. The role provides charge master expertise, support, education, guidance, and recommendations to clinical and administrative departments to help optimize net revenue.

Essential Duties

• Ensure the charge master and fee schedules align with government compliance policies and third-party payer requirements.
• Review, identify, and analyze CPT changes related to quarterly and annual AMA updates and regulatory changes.
• Work with revenue-producing departments to maintain consistency across the chargemaster and fee schedules, including descriptions, coding, additions, deletions, pricing, and other changes.
• Analyze the net revenue effect of proposed charge master and fee schedule changes.
• Conduct annual and quarterly charge master reviews and updates.
• Serve as a resource for Patient Financial Services staff on claim problems and denials, researching coding issues and recommending solutions.
• Support strategic pricing efforts to optimize reimbursement within budget guidelines.
• Help resolve revenue cycle issues and develop recommendations for improvement.
• Assist with policies and procedures for CDM, pricing policies, and charge capture processes.
• Build collaborative relationships with executive, clinical, and administrative leaders across the health system.
• Provide regulatory, reimbursement, and billing guidance and develop training to support compliance.
• Monitor compliance with federal, state, and corporate guidelines, including HCPCS/CPT updates and billing unit rule changes.