We have an exciting opportunity to join our team as aCharge Master this role, the successful candidate as the Charge Master Coordinator supports the Revenue Integrity (RI) department by maintaining the accuracy, compliance, and operational integrity of the hospital Charge Description Master (CDM) and assisting with select physician charge master workflows. The Coordinator works collaboratively across Revenue Cycle, clinical departments, Finance, Managed Care, Supply Chain, and IT to support accurate charging, strategic pricing, automation initiatives, supply capture, and revenue integrity. The role utilizes Craneware, WQ Logic, Ingenix, Alternate Billing Logic, and other enterprise tools to ensure CDM accuracy, audit readiness, and standardized charging practices across NYU Langone Health.Job Responsibilities:CDM Maintenance, Compliance & UpdatesMaintain, update, and validate CDM entries in accordance with NYU Langone Health policies, CMS guidelines, payer requirements, and RMI procedures.Publish new CDM updates and support annual, quarterly, and ad hoc changes.Perform OPPS updates, including end-of-year rate changes, quarterly updates, and annual updates.Work collaboratively with IT to build and maintain automated charge capture where applicable.Support new EAP builds and submissions, track usage, and monitor system compliance.Work collaboratively with the Central Billing Office (CBO) to support physician charge master maintenance where needed.Oversee and participate in departmental charge master reviews to ensure accuracy, compliance, and alignment with enterprise standards.Reporting, Analytics & System MonitoringUtilize Craneware for charge master history and build logic and to address implementation errors, monitor revenue integrity, and support CDM compliance.Generate and review reports for CDM volume changes, EAP usage, charge capture trends, and revenue at risk.Maintain and audit WQ Logic to identify discrepancies, trends, and unmatched HIM coding (DNB).Track System & Payer Supply Logic to ensure correct billing for supply items across all payers.Use Alt Logic and Ingenix tools to validate charges, support reconciliation, and ensure accurate claims.Charge Capture, Supply Capture & Automation SupportPartner with clinical departments and Supply Chain to ensure accurate, timely, and complete charge and supply capture.Support automation initiatives to streamline charging workflows, reduce manual interventions, and improve accuracy.Identify and remediate charge capture gaps, system errors, or inconsistencies.Pricing, Revenue Stewardship & Managed Care CollaborationSupport hospital and ambulatory pricing reviews, including annual and ad hoc evaluations, in collaboration with RI leadership, Finance, and Managed Care.Conduct analyses for new services, devices, technologies, and supplies, including pricing, reimbursement research, and revenue impact modeling.Collaborate closely with the Office of Managed Care and the Billing Office to ensure alternate billing codes are implemented to meet payer-specific requirements and support timely, accurate reimbursement.Project & System SupportParticipate in Epic upgrades, charge workflow enhancements, interface testing, and system improvements affecting charging.Validate charge builds for new clinical programs, department openings, and service expansions.Serve as a resource for Epic, Craneware, WQ Logic, Alt Logic, Ingenix, and other CDM-related system configurations.Customer Service & Cross-Functional CollaborationAct as a point of contact for clinical and operational stakeholders regarding CDM requests, charging questions, pricing guidance, and workflow alignment.Provide education and guidance to departments during charge master reviews to ensure correct practices.Build strong working relationships with Coding, Billing, Compliance, Finance, Managed Care, Supply Chain, IT, and CBO teams.Performs other duties as assignedMinimum Qualifications:Bachelors degree in Health Administration, Business, Finance, HIM, or related field; or equivalent combination of education and experience.4+ years of experience in revenue cycle, charge master, coding, billing, or related healthcare financial operationsKnowledge of CPT/HCPCS, revenue codes, CMS/payer rules, and reimbursement methodologies.Proficiency with Excel, reporting tools, and data analysis systems.Strong communication, analytical, organizational, and customer-service skills.Preferred Qualifications:Experience in healthcare finance/accounting, revenue cycle and/or decision support functions.Qualified candidates must be able to effectively communicate with all levels of the organization.NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment.
Job Title
Charge Master Coordinator (Revenue Integrity (RI))