Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid

Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid 

The Revenue Integrity Analyst, Charge Description Master (CDM) for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong hospital healthcare revenue cycle background to ensure an accurate and compliant Chargemaster. The ideal candidate will possess knowledge of hospital charging, billing, managed care contracts, Epic workflows and quality reporting measures.

This position will report to the Director of the CDM.

Chargemaster Maintenance

•    Maintain and update the enterprise CDM/EAP database, including adding new charges, deleting obsolete charges, and updating descriptions, pricing, revenue codes, and HCPCS/CPT codes. 
•    Ensure all changes align with annual, quarterly, and ad hoc regulatory updates.
Audit and Data Integrity: 
•    Perform regular prospective and retrospective audits of the CDM and departmental charge capture tools to detect errors, omissions, or compliance risks.
•    Supports the adherence to all Federal, State and Regulatory requirements and guidelines for the Hospital Charge Description Master. 
•    Supports the annual review of the hospital charge description master which includes identifying codes which have been deleted, added or replaced; assigning specific codes when appropriate; identifying description changes; and ensuring the nomenclature reflects the procedures performed.  

Reporting & Analytics:

•    Generate, produce, and validate standard management reports on charge capture trends, late charges, and revenue at risk. 
•    Analyzes hospital service charges to ensure they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. 
•    Provides routine, standardized reporting to stakeholders as requested or needed. 
•    Assist with development and or maintenance of reports to identify various metrics as defined by leadership or needed for departmental monitoring. 
•    Utilize advanced analytics to monitor revenue cycle performance and identify trends related to denials, underpayments, and coding variances.
•    Create feedback loops and enhancement pipelines informed by stakeholders and data.
Pricing Strategy & Transparency
•     Assist in validating CDM pricing relative to market trends, managed care contract terms, and CMS fee schedules. Support compliance with price transparency requirements.

Collaboration & Education

•    Works with internal stakeholders to ensure that the Hospital CDM accurately reflects the services provided. 
•    Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
•    Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.
•    Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
•    Performs other duties as assigned

• Bachelor's degree in public health/administration, finance, business or a related field or equivalent education and experience.
• Three (3) plus years of progressively responsible experience working with the Hospital Charge Description Master, preferably in an academic medical center.
• 3-5 years with Epic Experience, Epic certification desirable. 
• CPC or equivalent, a plus 

Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $79720 - $119580 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.