Children's National Hospital · 9 hours ago
Revenue Integrity Charge Capture & CDM Analyst
District of Columbia-Washington
Full-time
Onsite
Mid Level
3+ years expChildren's National Hospital is seeking a Revenue Integrity Charge Capture & CDM Analyst to coordinate the charge master system and ensure accurate billing practices. The role involves providing expertise and support to clinical and administrative departments to optimize net revenue and maintain compliance with regulatory standards.
AssociationChild CareHealth CareNon Profit
Responsibilities
Provide education and in-service training to departments
Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM
Process CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner
Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments
Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to insure compliance with regulatory agencies
Distribute coding and billing regulatory requirements and/or announcements to all applicable departments
Responsible to make CDM related decisions that require significant analysis and investigation
Develop and maintain policies and procedures for the CDM, Pricing Policies and charge capture processes
Perform all maintenance to the Charge Description and Service Master and the Room and Bed Master Files
Create and maintain all hospital transaction codes and revenue department codes
Monitor and report all revenue department's charge volumes and posting lag days
Research and resolve all charge and service master related code errors that affect the recycle and reject reports
Assist in performing comprehensive reviews with clinical departments to ensure completeness and accuracy of charge description master
Take initiative to identify system and/or operational problems and participate in the development of solutions to improve billing functions
Serve as expert resource for code and processing questions, train and educate coders
Maintain relationships with, and serve as liaison to department administration, physicians, clinic administration, information services, billing offices, financial offices and other departments
Participate in team meetings/activities and support the philosophy and goals of the team and department
Adhere to internal controls and reporting structure
Remain current with updated coding and billing regulations through yearly continuing education; read all announcements and relevant communications that relate to job duties
Lead special projects/assignments
Speak up when team members appear to exhibit unsafe behavior or performance
Continuously validate and verify information needed for decision making or documentation
Stop in the face of uncertainty and takes time to resolve the situation
Demonstrate accurate, clear and timely verbal and written communication
Actively promote safety for patients, families, visitors and co-workers
Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
Anticipate and responds to customer needs; follows up until needs are met
Demonstrate collaborative and respectful behavior
Partner with all team members to achieve goals
Receptive to others’ ideas and opinions
Contribute to a positive work environment
Demonstrate flexibility and willingness to change
Identify opportunities to improve clinical and administrative processes
Make appropriate decisions, using sound judgment
Use resources efficiently
Search for less costly ways of doing things
Qualification
Required
Associate's Degree (Required)
3 - 5 years of experience in charge capture, coding or charge description master in a hospital environment (Required)
Preferred
Bachelor's Degree Healthcare related field or equivalent work experience (Preferred)
Company
Children's National Hospital
Children’s National Hospital, based in Washington, D.C., was established in 1870 to help every child grow up stronger.
Founded in 1870Washington, District of Columbia, USA
5001-10000 employees
H1B Sponsorship
Children's National Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (82)
2024 (55)
2023 (92)
2022 (59)
2021 (41)
2020 (51)
Funding
Current Stage
Late StageTotal Funding
$19.4MKey Investors
Gilbert Family FoundationAdvanced Research Projects Agency for HealthUnited Health Foundation
2025-10-09Grant· $8M
2024-10-23Grant· $8M
2021-11-09Grant· $3.4M
Leadership Team
Kurt Newman
President and CEO
Michelle Riley-Brown, MHA, FACHE
President and CEO
Recent News
BioWorld Financial Watch
2025-06-07
Company data provided by crunchbase