Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)

New Charge Requests & Clinical Documentation Review:

•  Review clinical documentation to validate appropriate charge code builds and resolve   charge suspense issues
•  Process and evaluate new charge requests across departments and facilities
•  Ensure correct billing configuration across Epic and Meditech modules

Chargemaster Maintenance:

• Builds new charges by reviewing, assigning, and validating CPT/HCPCS and revenue codes and setting prices
• Review CPT-4, HCPCS, and revenue code updates regularly
•  Maintain the CDM with timely updates driven by regulatory changes and department requests
• Ensures the ongoing accuracy and integrity of the CDM by making sure all charges are communicated and coordinated with the performing departments

Charge Capture Auditing & Compliance:

• Audit charge capture for inpatient, outpatient, clinic, ED, and ambulatory services
• Work with HIM and billing teams to support rebilling and correction processes as needed

Coding & Billing Accuracy:

• Audit and validate charge integrity in Epic and Meditech systems
• Coordinate billing code corrections with PFS, HIM, and clinical stakeholders
• Monitor compliance with CMS and third-party payer requirements

System Administration & Regulatory Support:

• Support implementation of regulatory coding changes and ensure CDM compliance across systems
• Assist in resolving problems causing payer denial or failed Medicare edits as they involve the chargemaster
• Coordinate with IT and clinical departments to ensure alignment of charging workflows
• Ensures all impacted systems are updated with new /revised charge codes 
• Ensures deleted charge codes are removed from charging workflows and systems 
• Other duties and/or projects as assigned 

• Bachelors degree in Accounting or an equivalent combination of education and experience
• 5+ years of experience in hospital chargemaster maintenance and medical coding.
• Certified Professional Coder (CPC) or equivalent credential required
• Proficient in CPT, HCPCS, revenue codes, and Medicare billing regulations.
• Advanced proficiency in Epic, especially in EAP configuration and charge workflows.
• Strong analytical skills and proficiency in Excel and related tools.
• Epic certification in Charging or Billing is highly desirable.
•  Experience with Meditech and legacy systems preferred.
•  Background in Revenue Integrity, Health Information Management, or financial analysis preferred.
• Strong interpersonal skills with the ability to communicate across clinical, financial, and IT departments preferred.
• Up-to-date knowledge of payer regulations and healthcare compliance standards preferred.

Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital