UPMC · 1 week ago
CDM Coordinator
Pittsburgh, PA
Full-time
Onsite
Senior Level, Lead/Staff
10+ years expUPMC is a healthcare provider seeking a CDM Coordinator to function as a financial liaison between fiscal services and patient care operations. The role involves providing education on billing, coordinating charge description master maintenance, and performing financial analysis to ensure operational efficiency.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Assist and interact with all levels of management within Finance and the Revenue Cycle, as well as others clinical areas
Perform daily review/analysis of charging errors, working with ancillary departments to resolve in a timely manner
Coordinate Charge Description Master maintenance coordination activities in a timely manner, including charge additions, CPT/HCPCS code changes, and pricing updates
Work with PBS billing staff to identify, analyze and resolve CDM-related claim submission issues
Establish and maintain collaborative, customer-focused relationships with all internal departments, as well as non-hospital groups or entities
Investigates, analyzes and recommends actions and solutions for registration, coding, charge entry, cash collection, posting and balancing problems
Support Finance and Revenue Cycle Services personnel with additional applications and software programs utilized within the Business Office
Interact with personnel from Information Services, the CBO, and ancillary/clinical areas to ensure that all operational and revenue needs are met
Participate in on-going performance improvement programs; program development, staff training and external conferences to ensure knowledge of billing and reimbursement regulations are current
Support ancillary information system implementation efforts and other large-scale organizational projects by serving as CDM representative and identifying/analyzing/implementing CDM-related requirements
Determine the needs of particular areas with regard to registration/billing requirements and serve as the liaison for all Information Service Requests
Investigate and evaluate registration/billing problems to determine necessary actions required to resolve the problem
Develop solutions to operational problems, create and implement action plans, as well as day-to-day operational revenue management
Analyze ancillary departmental charging system/processes, recommending changes as necessary to ensure timely and accurate revenue capture and billing to third party payers
Provide full cooperation and support to internal and external auditors by providing access to data, policies, or other requested material
Participate in testing, validation and implementation of all system enhancements and upgrade to ensure that functionality and productivity is maintained
Qualification
Required
Minimum of 10 years of patient account experience required
Knowledge of basic patient accounting principles
Familiarity with large-scale, automated patient billing systems, medical terminology and coding
In-depth knowledge of electronic data interchange and claims processing, third party payer rules, reimbursement practices and regulatory guidelines
Proficient with MS Word, Excel and Outlook
Excellent client service skills
Excellent written and verbal communication skills
Ability to coordinate projects to meet the needs of users and establish priorities, make decisions and follow issues through resolution
Strong leadership skills, oversight and direction for assigned special project activities
Preferred
Bachelor's degree in business administration, accounting, or computer sciences preferred
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
President and CEO
Frederick M. Hargett
Chief Financial Officer
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