Manager Charge Description Master & Revenue Integrity
Core
Directs the development, coordination, implementation, and oversight of the charge description master (CDM) and revenue integrity functions to ensure accurate, compliant, and timely charge capture, billing, and reimbursement.
Role type
Manager, Revenue Cycle Operations (CDM & Revenue Integrity)
Builds
Hospital billing workflows, charge reconciliation processes, and revenue integrity programs
Domain
Healthcare Administration / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Epic CDM Management, Epic Hospital Resolute Billing, Epic PB Router, Medicare/Medicaid/Payer Guidelines, Revenue Integrity Analysis, Charge Reconciliation, Staff Supervision, Process Improvement, Regulatory Compliance, Data Analysis
Preferred skills
Clinical background (RN/NP/PA), Hospital Billing/Finance background, CPC-H/CPC/RHIT certification, Epic Certifications, Reporting/Dashboard Tools (Tableau/Power BI/SQL)
Technologies
Epic, Microsoft Excel, Tableau, Power BI, SQL, SSRS, Cogito, SlicerDicer
Responsibilities
Direct revenue integrity operations to support accurate charge capture and reduce denials; Maintain and optimize the Charge Description Master (CDM) for compliance and reimbursement; Investigate and resolve revenue integrity risks and variances; Develop tools and reports to identify lost revenue and process gaps; Supervise and mentor analyst staff; Partner with clinical, finance, and IT departments to improve billing efficiency and reimbursement performance.
Seniority
Manager, hands-on leadership
