Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid

DescriptionRevenue Integrity Analyst, Charge Description Master (CDM) for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong hospital healthcare revenue cycle background to ensure an accurate and compliant Chargemaster. The ideal candidate will possess knowledge of hospital charging, billing, managed care contracts, Epic workflows and quality reporting measures.This position will report to the Director of the CDM.ResponsibilitiesChargemaster MaintenanceMaintain and update the enterprise CDM/EAP database, including adding new charges, deleting obsolete charges, and updating descriptions, pricing, revenue codes, and HCPCS/CPT codes.Ensure all changes align with annual, quarterly, and ad hoc regulatory updates.Audit and Data IntegrityPerform regular prospective and retrospective audits of the CDM and departmental charge capture tools to detect errors, omissions, or compliance risks.Support adherence to all Federal, State and Regulatory requirements and guidelines for the Hospital Charge Description Master.Support the annual review of the hospital charge description master, identifying codes that have been deleted, added or replaced; assigning specific codes when appropriate; identifying description changes; and ensuring the nomenclature reflects the procedures performed.Reporting & AnalyticsGenerate, produce, and validate standard management reports on charge capture trends, late charges, and revenue at risk.Analyze hospital service charges to ensure they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts.Provide routine, standardized reporting to stakeholders as requested or needed.Assist with development and/or maintenance of reports to identify various metrics as defined by leadership or needed for departmental monitoring.Utilize advanced analytics to monitor revenue cycle performance and identify trends related to denials, underpayments, and coding variances.Create feedback loops and enhancement pipelines informed by stakeholders and data.Pricing Strategy & TransparencyAssist in validating CDM pricing relative to market trends, managed care contract terms, and CMS fee schedules. Support compliance with price transparency requirements.Collaboration & EducationWork with internal stakeholders to ensure that the Hospital CDM accurately reflects the services provided.Resourcefully create or fine‑tune the processes necessary to complete the work and organize people and activities.Challenge existing norms or courses of action to facilitate fully informed decision‑making, and help institute balanced decision‑making by identifying risks and opportunities.Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.Perform other duties as assigned.QualificationsBachelor's degree in public health/administration, finance, business or a related field or equivalent education and experience.Three (3) plus years of progressively responsible experience working with the Hospital Charge Description Master, preferably in an academic medical center.3‑5 years with Epic Experience, Epic certification desirable.CPC or equivalent, a plus.Non‑Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai HospitalEqual Opportunity EmployerThe Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.CompensationThe Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $79,720 - $119,580 annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.#J-18808-Ljbffr