Mount Sinai Morningside
Senior Financial Analyst, Enterprise CDM -Patient Financial Services-Corporate 4
Mount Sinai Morningside, New York, New York, us, 10261
Overview
Senior Financial Analyst, Enterprise CDM - Patient Financial Services - Corporate 42nd Street - Full-Time Days - Hybrid. The Senior Financial Analyst, Enterprise Charge Description Master (CDM) for Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) combines advanced financial analysis with healthcare revenue cycle experience to ensure accurate and compliant charge capture and CDM compliance. The ideal candidate has advanced knowledge of professional charging, billing, physician fee schedules, Epic workflows, and quality reporting. This position reports to the Director of the Enterprise CDM. Responsibilities
Build, maintain, and update the Professional Charge Description Master (CDM) with timely and accurate revenue and CPT/HCPCS codes. Collaborate with HIM, billing, clinical, IT, and other stakeholders to resolve billing issues, update systems, and align charging workflows. Support the implementation of new coding changes and ensure overall Professional CDM compliance. Build new charges by reviewing, assigning, and validating appropriate codes. Ensure adherence to all Federal, State, and Regulatory requirements for the Professional Charge Description Master. Work with providers and clinical areas to ensure the professional CDM accurately reflects services provided. Analyze physician service charges to ensure alignment with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. Provide routine, standardized reporting to stakeholders as requested or needed. Support annual review of the professional CDM, including updates for added, deleted, or replaced codes and terminology updates. Support quarterly and annual CDM updates and develop/maintain reports to monitor metrics as defined by leadership. Utilize advanced analytics to monitor revenue cycle performance and identify trends in denials, underpayments, and coding variances. Lead and participate in multidisciplinary revenue practice teams to address complex billing issues and drive improvements. Ensure adherence to coding guidelines and compliance regulations (e.g., CMS) and mitigate compliance risks, audits, and penalties related to billing errors. Create or refine processes to complete work efficiently and organize people and activities; challenge existing norms to enable informed decision-making. Establish and maintain strong working relationships with revenue cycle leaders, stakeholders, and key strategic partners; create feedback loops and enhancement pipelines. Ensure compliance with HIPAA privacy and security standards and conform to established policies, procedures, and standards of behavior. Performs other duties as assigned. Qualifications
Bachelor’s degree in public health/administration, finance, business, or related field, or equivalent education and experience. Six (6) or more years of progressively responsible experience with the Professional CDM, preferably in an academic medical center. 5+ years with Epic; Epic certification desirable. Strong analytical skills and proficiency in Excel and related tools; strong knowledge of quality payment programs. Demonstrated success in a large not-for-profit/academic health system professional or multi-entity revenue cycle environment. Extensive knowledge of revenue cycle processes, professional charging/billing, code data sets, Epic edits, and reimbursement. Ability to review, analyze, and interpret managed care contracts, billing guidelines, and state and federal regulations; ability to communicate with member entities. Ability to interpret detailed medical records and communicate effectively with physicians, nursing staff, leadership, and billing personnel. Proven ability to manage multiple projects; excellent interpersonal, verbal, and written communication skills. Ability to engage in persuasive communication with diverse stakeholders to achieve defined goals; high energy and creativity under pressure. Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes. Certification
Applicable professional certification through AHIMA (CCS, CCS-P) or AAPC (CPC) preferred. Employer and Equal Opportunity
The Mount Sinai Health System is an equal opportunity employer, committed to fostering an environment where everyone can contribute to excellence. We do not discriminate based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other protected characteristic. We strive to create a culture that ensures fair access to opportunities and supports the success of every individual. Compensation
The salary range for this role is $65,885 - $98,827 annually. Actual compensation depends on experience, education, and operational need. The stated range does not include bonuses or other forms of compensation or benefits.
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Senior Financial Analyst, Enterprise CDM - Patient Financial Services - Corporate 42nd Street - Full-Time Days - Hybrid. The Senior Financial Analyst, Enterprise Charge Description Master (CDM) for Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) combines advanced financial analysis with healthcare revenue cycle experience to ensure accurate and compliant charge capture and CDM compliance. The ideal candidate has advanced knowledge of professional charging, billing, physician fee schedules, Epic workflows, and quality reporting. This position reports to the Director of the Enterprise CDM. Responsibilities
Build, maintain, and update the Professional Charge Description Master (CDM) with timely and accurate revenue and CPT/HCPCS codes. Collaborate with HIM, billing, clinical, IT, and other stakeholders to resolve billing issues, update systems, and align charging workflows. Support the implementation of new coding changes and ensure overall Professional CDM compliance. Build new charges by reviewing, assigning, and validating appropriate codes. Ensure adherence to all Federal, State, and Regulatory requirements for the Professional Charge Description Master. Work with providers and clinical areas to ensure the professional CDM accurately reflects services provided. Analyze physician service charges to ensure alignment with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. Provide routine, standardized reporting to stakeholders as requested or needed. Support annual review of the professional CDM, including updates for added, deleted, or replaced codes and terminology updates. Support quarterly and annual CDM updates and develop/maintain reports to monitor metrics as defined by leadership. Utilize advanced analytics to monitor revenue cycle performance and identify trends in denials, underpayments, and coding variances. Lead and participate in multidisciplinary revenue practice teams to address complex billing issues and drive improvements. Ensure adherence to coding guidelines and compliance regulations (e.g., CMS) and mitigate compliance risks, audits, and penalties related to billing errors. Create or refine processes to complete work efficiently and organize people and activities; challenge existing norms to enable informed decision-making. Establish and maintain strong working relationships with revenue cycle leaders, stakeholders, and key strategic partners; create feedback loops and enhancement pipelines. Ensure compliance with HIPAA privacy and security standards and conform to established policies, procedures, and standards of behavior. Performs other duties as assigned. Qualifications
Bachelor’s degree in public health/administration, finance, business, or related field, or equivalent education and experience. Six (6) or more years of progressively responsible experience with the Professional CDM, preferably in an academic medical center. 5+ years with Epic; Epic certification desirable. Strong analytical skills and proficiency in Excel and related tools; strong knowledge of quality payment programs. Demonstrated success in a large not-for-profit/academic health system professional or multi-entity revenue cycle environment. Extensive knowledge of revenue cycle processes, professional charging/billing, code data sets, Epic edits, and reimbursement. Ability to review, analyze, and interpret managed care contracts, billing guidelines, and state and federal regulations; ability to communicate with member entities. Ability to interpret detailed medical records and communicate effectively with physicians, nursing staff, leadership, and billing personnel. Proven ability to manage multiple projects; excellent interpersonal, verbal, and written communication skills. Ability to engage in persuasive communication with diverse stakeholders to achieve defined goals; high energy and creativity under pressure. Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes. Certification
Applicable professional certification through AHIMA (CCS, CCS-P) or AAPC (CPC) preferred. Employer and Equal Opportunity
The Mount Sinai Health System is an equal opportunity employer, committed to fostering an environment where everyone can contribute to excellence. We do not discriminate based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other protected characteristic. We strive to create a culture that ensures fair access to opportunities and supports the success of every individual. Compensation
The salary range for this role is $65,885 - $98,827 annually. Actual compensation depends on experience, education, and operational need. The stated range does not include bonuses or other forms of compensation or benefits.
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