The Revenue Integrity and CDM Analyst is responsible for the development, implementation, and maintenance of the UT Health San Antonio Multispecialty and Research Hospital (MSRH) CDM and is responsible for accurate and timely payments from third party payers in compliance with managed care contracts and government fee schedules.. The Revenue Integrity and CDM Analyst will be responsible for ensuring accurate, up-to-date, and compliant coding and pricing of medical services, procedures, and supplies. This role prepares relevant reports for management review. They will analyze third party denials and prepare relevant reports regarding trends in denials. They will determine root causes of denials and work with the appropriate departments to establish processes to ensure prevention of the denials. The Revenue Integrity and CDM Analyst will develop, produce, validate and distribute standard management and ad-hoc reports as requested by end-users. This position will obtain, manipulate and analyze data from a variety of sources. This role requires a strong understanding of healthcare reimbursement methodologies, compliance standards, and a commitment to maintaining the highest level of data integrity. The Revenue Integrity and CDM Analyst reports directly to the MSRH Director of Revenue Cycle, but collaborates with various departments, including finance, revenue cycle, coding, compliance, and clinical units, to optimize revenue capture and enhance financial performance.
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The mission of UT Health San Antonio is to make lives better through excellence in education, research, health care and community engagement. Our vision is to be a world-class academic health center transforming health and health care for a dive...
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