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Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM Analysts.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Reviews and/or processes changes, addition and deletion requests for CDM updates.

2. Follows HELIOS required change control processes for all updates/changes needed.

3. Participates in CAB call for Service Now Tickets submitted by Clinical and/or Operational departments. Routes/assigns Service Now tickets to

responsible CDM team members based on assigned departments.

4. Serves as technical resource for assigned clinical or business departments throughout HFHS. Responsibility includes, but is not limited to, the

assessment of optimization efforts to meet system goals including patient safety, quality of care, charge capture and improving operational

efficiencies.

5. Collaborates with EPIC Application teams, Reimbursement, Compliance, and SMEs to maintain/update/test the CDM and appropriate EAP records

and their links to these records for pricing and fee schedule maintenance

6. Supports timely implementation of coding updates (CPT/HCPCS), periodic UB Revenue Code updates, modifier revisions and regulatory updates to

CDM. Assists CDM Team with communications to Clinical End Users, Revenue Integrity, Reimbursement, IT, HIM and others (as needed) when

coding changes may impact net reimbursement, gross charges, productivity or internal processes.

7. Analyzes and processes charging and rate errors within EPIC Work Queues as well as other claim edit or charge review issues that occur.

8. Coordinates distribution of monthly CDM listings and reports to MedAssets and other users. Runs Jxports lists. Creates/runs other EPIC/CDM reports

as needed.

9. Reviews and requests changes to preference lists (charge navigators).

10.Performs a variety of duties within EPIC including, but not limited to, creation of EAPs in POC (Proof of Concept) environment and test PB

custom codes in POC or TST and updates fee schedule rates in POC for CDM Manager’s review.

11.Provides quality control check and audits that expected CDM changes have properly moved from test into the production environment.

12.With the CDM Manager and CDM Coordinator, collaborates with appropriate HELIOS application team or Subject Matter Experts (SME) to

maintain the various table files for providing accurate CPT/HCPCS and revenue codes within EPIC which are responsible for providing accurate

CPT/HCPCS codes and revenue codes based upon multiple payer requirements.

13.Adheres to HELIOS Service Level Agreements related to EPIC.

14.Analyzes legislation and regulations, reviews and interprets records, newsletters, bulletins, (billing and remittance) to comply with third party

regulations. This includes knowledge of Medicare/Medicaid regulations as well as understanding of managed care contracts.

15.Actively participates in ongoing monitoring process to identify billing problems related to the CDM to include: evaluation of the accuracy of

interface functionality, quarterly audit of the appropriateness of UB04 formatting for major payers and confirmation of the accuracy of

departmental charge capture tools (charge screens, charge sheets, etc.).

16.Participates collaboratively with Revenue Integrity team in the development, execution and follow-up of education programs for Administration,

Managers and Staff on all issues related to the charge master and charge master related processes.

17.Establishes and maintains effective working relationships with Nursing, Physicians, other Clinical Staff, Information Services, HIMS and PFS to

facilitate expeditious resolution of coding and billing issues related to the functionality of the CDM file and related interface processes.

18.Participates actively in team development, achieving dashboards, and in accomplishing department goals and objectives.

EDUCATION AND EXPERIENCE:

+ Associates Degree Required,

+ Bachelors Degree Preferred.

+ Coding certification (CPC, COC, CCA, CCS, RHIT) Preferred.

+ Charge Description Master experienc preferred.

+ EPIC certification in CDM Management, PB or HB Claims certified preferred.

+ If not EPIC CDM certified, must obtain EPIC CDM certification within 12 - 24 months of start date.

+ Billing experience (professional and/or hospital) preferred.

+ Clinical experience including RN, NP, RT, etc. a plus.

Additional Information

+ Organization: Corporate Services

+ Department: Revenue Integrity

+ Shift: Day Job

+ Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.