Chargemaster Analyst 2

The Chargemaster Analyst II is responsible for the maintenance and monitoring of an integrated Epic-based Charge Description Master (CDM). This position is responsible for completing CDM requests, ensures that the CDM reflects clinical practice and aligns with the reporting requirements for government, and major commercial third-party payors. Responsible for supporting the integrity and accuracy of the CDM through annual, semi-annual, and quarterly CPT/HCPCS code updates, clinical practice changes, and EPIC system upgrades. Creates and performs analysis on Chargemaster coding and financial data requests and reports. Identifies billing problems related to CDM including interface functionality, and confirmation of the accuracy of department charge capture tools to maintain data integrity across all billing systems.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Chargemaster Analyst II Job Responsibilities:

• Creates and performs analysis on Chargemaster coding and financial data requests and reports.
• Develops results-oriented coding and financial analysis based on research, fee schedules, dollars, trends, and operational relationships,(i.e. including the financial impact of implementing a given regulatory change, price change ramifications, and gross impact).
• Draws valid conclusions, in collaboration with the Manager, based on researched evidence supportive to management decision-making and suggests potential alternatives to conclusions, when applicable.
• Meets with operational personnel to discuss the approach and findings on a specific analysis or improvements realized through changing existing workflow.
• Assists Senior Financial Analysts and/or Management with Chargemaster-related financial projects as needed.
• Demonstrates an ability to evaluate and maintain the proper level of Chargemaster data integrity through ongoing monitoring to identify potential billing issues related to CDM including interface functionality, confirmation of accuracy of the department charge capture tools or navigator screens
• Identifies and communicates pitfalls and obstacles that all users of billing & financial systems information might encounter.
• Ensures that coding & financial information provided is accurate, consistent, and complete. Coordinates with IT, Revenue Integrity, and Revenue Cycle Managers in addition to specific departments for successful implementation of any changes.
• Conducts troubleshooting of Chargemaster data as needed to enable billing, information systems, and finance to initiate and/or remedy potential errors in reporting.
• Performs timely updates to the Chargemaster and pricing to ensure that the integrity of coding & financial data and the subsequent reporting of information derived from the CDM is accurate.
• Participates in annual CDM audits in accordance with the annual work plan, coordinating with internal or external auditors.
• Collaborates with the Revenue Integrity team in the development, execution, and follow-up of education related to the Chargemaster and CDM-related processes.

Chargemaster Analyst II Job Requirements:

• Work Schedule: 8-hour shift (Monday - Friday days, 8:00 a.m. - 5:00 p.m.) ; Remote
• Education: Bachelor Degree or 4 additional years of relevant experience
• Experience: 2 year of experience in Hospital Charge masters, advanced billing & coding, revenue cycle or related healthcare experience
• Certification: Certified Coder from an accredited professional organization (ie AAPC, AHIMA)

Chargemaster Analyst II Job Preferred Requirements:

• Prior outpatient coding experience in a hospital setting, with strong knowledge of CPT/HCPCS, revenue codes, and charge capture workflows.
• Comprehensive understanding of hospital revenue cycle processes, including billing compliance, reimbursement methodologies (e.g., APC, OPPS), and payer guidelines.
• Experience working within Epic systems, particularly Epic Resolute Hospital Billing, Charge Router, and code mapping tools.
• Demonstrated expertise in Microsoft Excel, including advanced functions such as VLOOKUPs, pivot tables, formulas, conditional formatting, and data validation.
• Strong analytical and problem-solving skills with the ability to assess charging issues and identify variances in revenue capture.
• In addition to the required CPC or CCS certification, RHIA or RHIT certification is preferred.