Chargemaster Analyst 2

Inova Health is looking for a dedicated Chargemaster Analyst 2 to join the team. This remote role will be full-time day shift from Monday - Friday between 8:00 a.m. - 5:00 p.m.

The Chargemaster Analyst 2 maintains and monitors the Epic-based Charge Description Master (CDM) to ensure accuracy, compliance, and alignment with clinical practices and payer requirements. This role manages CDM updates, analyzes coding and financial data, and resolves billing issues related to charge capture and system functionality.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Chargemaster Analyst 2 Job Responsibilities:

• Creates and performs analysis on Chargemaster coding and financial data requests and reports.
• Develops results-oriented coding and financial analysis based on research, fee schedules, dollars, trends, and operational relationships,(i.e. including the financial impact of implementing a given regulatory change, price change ramifications, and gross impact).
• Draws valid conclusions, in collaboration with the Manager, based on researched evidence supportive to management decision-making and suggests potential alternatives to conclusions, when applicable.
• Meets with operational personnel to discuss the approach and findings on a specific analysis or improvements realized through changing existing workflow.
• Assists Senior Financial Analysts and/or Management with Chargemaster-related financial projects as needed.
• Demonstrates an ability to evaluate and maintain the proper level of Chargemaster data integrity through ongoing monitoring to identify potential billing issues related to CDM including interface functionality, confirmation of accuracy of the department charge capture tools or navigator screens
• Identifies and communicates pitfalls and obstacles that all users of billing & financial systems information might encounter.
• Ensures that coding & financial information provided is accurate, consistent, and complete. Coordinates with IT, Revenue Integrity, and Revenue Cycle Managers in addition to specific departments for successful implementation of any changes.
• Conducts troubleshooting of Chargemaster data as needed to enable billing, information systems, and finance to initiate and/or remedy potential errors in reporting.
• Performs timely updates to the Chargemaster and pricing to ensure that the integrity of coding & financial data and the subsequent reporting of information derived from the CDM is accurate.
• Participates in annual CDM audits in accordance with the annual work plan, coordinating with internal or external auditors.
• Collaborates with the Revenue Integrity team in the development, execution, and follow-up of education related to the Chargemaster and CDM-related processes.

Minimum Qualifications:

• Education: Bachelor Degree or 4 additional years of relevant experience
• Experience: 2 year of experience in Hospital Charge masters, advanced billing & coding, revenue cycle or related healthcare experience
• Certification: Certified Coder from an accredited professional organization (ie AAPC, AHIMA)

Preferred Qualifications:

• Prior outpatient coding experience in a hospital setting, with strong knowledge of CPT/HCPCS, revenue codes, and charge capture workflows.
• Comprehensive understanding of hospital revenue cycle processes, including billing compliance, reimbursement methodologies (e.g., APC, OPPS), and payer guidelines.
• Experience working within Epic systems, particularly Epic Resolute Hospital Billing, Charge Router, and code mapping tools.
• Demonstrated expertise in Microsoft Excel, including advanced functions such as VLOOKUPs, pivot tables, formulas, conditional formatting, and data validation.
• Strong analytical and problem-solving skills with the ability to assess charging issues and identify variances in revenue capture.
• In addition to the required CPC or CCS certification, RHIA or RHIT certification is preferred.