Ann & Robert H. Lurie Children's Hospital of Chicago · 5 months ago
Revenue Integrity Chargemaster Analyst
Streeterville, Chicago, IL
Full-time
Onsite
Mid Level
$66K/yr - $107K/yr
3+ years expAnn & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care and is seeking a Revenue Integrity Chargemaster Analyst. This role is responsible for maintaining the integrity of the revenue capture system and ensuring billing accuracy through audits and collaboration with clinical departments.
ChildrenHealth CareHospitalMedical
Responsibilities
Oversees maintenance of the chargemaster (CDM). Reviews, approves and builds all new charges. The review includes CPT (Current Procedural Terminology) codes, HCPCS codes, pricing, revenue codes and appropriate usage. Ensures all charges are tested and fully integrated with other systems as appropriate. Examples include supply systems, department preference lists, etc
Updates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System)
Acts as primary liaison to clinical departments for annual CPT/HCPCS updates and ad hoc changes. Works with Information Management to ensure new and deleted codes are implemented appropriately. Acts as a resource to revenue generation departments in establishing new charges and/or questions around existing charges. Develops coding education for internal departments
Oversees billing edit processes including CCI and MUE, along with other revenue capture initiatives captured by edits. Collaborates with departments on developing process changes to reduce pre-bill edits and achieve clean claims. Tracks edit volumes by type and department to identify and assist with resolutions as necessary
Reviews CDM departments on a regular basis or as defined in the Revenue Integrity Workplan. Review includes accuracy of charge use, review of charges available, charge reconciliation, and identifying opportunities and deficiencies. Works with a multidisciplinary committee to oversee and implement the annual price increase for organization. Ensures all fee schedules are updated accurately. May include working with consultants and the involvement of department leadership
Collaborates with all levels in the organization regarding opportunities and/or deficiencies. Provides recommendations for improvement and provides education as necessary. Performs follow up review to ensure implementation of improvements. Develops corrective action plans and participates in compliance investigations as needed
Assists with the annual Revenue Integrity Workplan development and ensures adherence to the workplan
Maintains an understanding of current Medicare, Medicaid, and commercial payer billing regulations and implements changes as related to CDM
Develops understanding of charge triggering systems used throughout the organization
Participates in projects, committees and system upgrades as necessary
Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others
Other job functions as assigned
Qualification
Required
Bachelor's degree required
Coding Credential required within 6 months of employment
3 years CDM experience required
Strong analytical and financial skills required
Proficient with Microsoft Office: Excel, Word and Power Point
Strong verbal and written communication skills required
Has working knowledge of clinical operations in a complex academic environment
Strong research skills and the ability to understand and interpret billing and documentation regulations
Ability to work independently and creatively
Maintain independence, objectivity and professional skepticism
Comfortable with using computers including the EMR
Knowledge of billing processes used in healthcare organizations
Preferred
Master's degree preferred
Clinical discipline preferred
Epic CDM experience preferred
Epic Certification in Charge Capture required within one year
Benefits
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program
Company
Ann & Robert H. Lurie Children's Hospital of Chicago
Ann & Robert H. Lurie Children's Hospital of Chicago is the largest pediatric healthcare provider in the region with a 130 year legacy of excellence.
1001-5000 employees
H1B Sponsorship
Ann & Robert H. Lurie Children's Hospital of Chicago 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 (23)
2024 (19)
2023 (30)
2022 (16)
2021 (17)
2020 (11)
Funding
Current Stage
Late StageTotal Funding
$13.95MKey Investors
Baby Safety FoundationNational Cancer InstituteAce Hardware
2025-10-07Grant
2024-11-04Grant· $3.7M
2019-09-27Grant· $0.25M
Leadership Team
Audrey Rosenblatt
Director Advanced Practice Anesthesia Services
Recent News
Chicago Tribune
2026-01-22
2025-10-07
Company data provided by crunchbase