Seasonal Senior CDM Analyst - Medical Bill Audit at Tampa General Hospital

Tampa, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Analytical Skills, Time Management, Coding Guidelines, Billing Regulations, Revenue Capture, Charge Master, Healthcare Administration, CPT/HCPCS Knowledge, UB-92 Revenue Coding, Multi-tasking, Research Skills, Process Improvement, Ad Hoc Queries, Revenue Cycle, Communication Skills, Data Analysis

Industry

Hospitals and Health Care

Description

InterHealth Staffing is a for-profit staffing division of TGH committed to providing patients with excellent and compassionate care. We are now offering 13-week seasonal assignments with competitive base pay and the potential for contract extensions based on unit needs. These positions are also a great way to experience the culture and the excellence of TGH while exploring the potential opportunity to transition into a permanent role. As the region’s leading safety net hospital, Tampa General is committed to providing area residents with world-class and compassionate health care ranging from the simplest to the most complex medical services. Joining our seasonal program allows you to make an impact while gaining valuable experience at one of the nation's top academic medical centers. Grow your career, make an impact, and see why so many choose to call TGH home. Our seasonal Applicants must have a minimum of 2 years’ experience within the specific division being hired into and deemed competent to work independently. Please review qualifications and apply for the recruiting team to review and assist with the interview process. Under the supervision of the Manager Medical Audit, the CDM Analyst is responsible for developing reports and tracking revenue activity and other analytics to identify opportunities, process improvements, and other system changes that will enhance revenue metrics. This role includes maintenance of revenue integrity through charge master files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing review. Plans and performs ad hoc queries and analysis; assesses facility site needs to proactively provide service and support; analyzes the charge master and billing system to identify opportunities for optimal revenue capture and to incorporate standardized workflows; serves as a resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors; and performs lower complexity analysis and coordinates workflow implementations. Resource to clinical leaders to facilitate understanding and modification of item master and revenue trends for the clinical department. Under direction of leadership, the CDM Analyst works with the Revenue Cycle, Finance, and clinical departments to analyze coding and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools. Responsible for leading a Revenue Cycle Committee made up of hospital managers to maximize revenue and decrease denials. Responsible to be the central point for receiving CMS bulletins and distributing them to the appropriate departments. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital. A Bachelor’s degree in business, healthcare administration or a related field with at least three (3) years of related experience or Associate’s degree in business, healthcare administration or a related field with at least six (6) years of related experience is required. Ability to understand and analyze payor regulations and the impact to the charge master on reimbursement and coding guidelines. Ability to multi-task and work under aggressive deadlines. Possess effective time management skills to permit handling of a large workload. Knowledge of CPT/HCPCS, UB-92 Revenue Coding, modifiers, billing regulations and APCs. Ability to research complex coding and regulatory requirements. Strong analytical skills.

Responsibilities

The CDM Analyst is responsible for developing reports and tracking revenue activity to identify opportunities for process improvements. This role includes maintaining revenue integrity through charge master files and performing analysis to ensure optimal revenue capture.