• The Charge Description Master (CDM) Analyst is responsible for maintaining and optimizing the hospital's Charge Description Master to ensure accurate, compliant, and efficient billing processes • Collaborates with clinical, coding and billing teams to review and update charge data, analyze financial impacts and ensure the integrity of the charge structure in accordance with regulatory standards and organizational policies • Maintains all inpatient, outpatient and physician charge description documents to ensure that all items are a direct reflection of chargeable and billable services • Initiates, coordinates, monitors, reviews, analyzes and implements requests to add, change or delete CDM items as appropriate • Improves efficiency by eliminating duplicate, inactive or non-compliant charges, thus decreasing the potential for an inappropriate charge being utilized • Research billing guidelines to maintain CDM compliance with Medicare and Medicaid standards • Reviews and updates documents concerning procedural and coding changes and initiates action to update the hospital charge description master as necessary • Performs data quality reviews on individual department charge descriptions to ensure compliance with all payer mandates and reporting requirements • Performs CDM quality control and troubleshooting activities • Performs systematic reviews of system-generated reports to monitor charging practices and identifies potential problems • Recommends workflow and other process changes to address charging problems or deficiencies • Audits health care provider progress notes to ensure that appropriate charges are being reported on patient billing documents • Researches and resolves complex billing issues involving rejected charges • Analyzes file data for evidence of deficiencies in controls, duplication, fraud, process breakdowns, or compliance • Maintains and/or modifies departmental charge documents to reflect current CDM choices • Research industry trends regarding pricing policies and recommends adjustments to pricing strategies and policies • Confers with Hospital management to analyze CDM billing processes, to identify root causes of denials/underpayments, and to analyze new third-party payment requirements • Implements CDM data entry or upload maintenance requests • Works with information systems staff to ensure that the appropriate CDM information is properly loaded and placed on the claims • Coordinates and/or oversees projects and processes as assigned • Prepares reports, studies, analyses, and other documents as assigned • Presents findings to individuals and/or groups as required • Performs other duties as assigned • Works effectively with Revenue Integrity Clinical Nurse Auditor, CDM, and Pricing Committees • Demonstrates knowledge of Coding Guidelines and Conventions (CPT/HCPCS, ICD-10-CM/PCS)

• Act as part of the team as a Data Engineer, responsible for building the pipeline that transforms raw data; • Maintain this pipeline in operation to collect data; • Ensure data security and integrity; • Collaborate with analytics and data science teams; • Monitor and troubleshoot data infrastructure issues.

• Collaborate with the BI Test Lead and government client in planning, training, and testing of reporting and data extracts for the financial system and coordinate with other vendors on testing to adjudicate, resolve, and close issues • Review and update testing plan for the BI components of each implementation release including SQL DAX, data lineage validation, cross system validation, and ELT flow checks • Develop system test scripts for key reports in that implementation release, including the use of automated testing tools; minimum of 50% of assigned scripts must be automated via Power BI automation tooling • Maintain and prioritize a testing defect log that will be shared with the government client and other vendors to track testing progress • Support BI and reporting components of User Acceptance Testing (UAT) training

• Collaborate with the Wave Testing Lead and government client in planning, training, and testing of functional components of the financial system and coordinate with other vendors on testing to adjudicate, resolve, and close issues • Develop automated test scripts to support requirement of covering minimum of 50% of regression testing cases via VA approved tools (e.g. Selenuim, Katalon, Eggplant) • Review and revise existing testing plan to account for iterative additions of new requirements and interfaces for each implementation release • Execute manual and automated test scripts, document results, identify issues and defects, and prepare testing summary reports • Link test cases to Requirements Traceability Matrix (RTM) • Maintain and prioritize a testing defect log that will be shared with the government client and other vendors to track testing progress • Prepare materials and support facilitation of User Acceptance Testing (UAT) training • Own maintenance and delivery of test scripts, results, testing evaluation summary, UAT summation report, and wave test plan updates