Manager Charge Description Master & Revenue Integrity

Principal Duties And Responsibilities

• Directs and oversees revenue integrity functions to support accurate, compliant, and timely charge capture, billing, reimbursement, and revenue cycle performance.
• Maintains and optimizes the Charge Description Master to ensure billable services, supplies, devices, drugs, procedures, and other chargeable items are accurately reflected and aligned with CPT, HCPCS, revenue code, payer, and regulatory requirements.
• Monitors charge capture, pre-bill edits, charge reconciliation, and revenue integrity reviews to identify billing errors, reduce denials, prevent rework, and support clean claim submission.
• Maintains and optimizes the Charge Description Master to ensure billable services, supplies, devices, drugs, procedures, and other chargeable items are accurately reflected and aligned with CPT, HCPCS, revenue code, payer, and regulatory requirements.
• Reviews, evaluates, and approves new or revised department charges to ensure appropriate coding, billing compliance, and prevention of overcharging, undercharging, or missed revenue opportunities.
• Ensures CDM updates are coordinated with clinical systems, Epic applications, billing workflows, and affected operational departments to support accurate charge generation and downstream revenue cycle processes.
• Develops tools, reports, and tracking mechanisms to identify potential lost revenue, charge capture gaps, reimbursement opportunities, and process improvement needs.
• Develops and delivers revenue integrity education and training for staff and departments in partnership with Revenue Cycle leadership.
• Led revenue integrity meetings, workgroups, staff meetings, and committee discussions to track progress, address issues, and support coordinated revenue cycle improvement.
• Partners with Revenue Cycle, Patient Accounting, Finance, IT, Epic, Coding, Managed Care, clinical departments, and operational leaders to improve billing efficiency, collections, payer enrollment, credentialing, charge accuracy, and reimbursement performance.
• Supervises, mentors, develops, and evaluates analyst staff supporting patient accounting, revenue integrity, and related operational work.

Charge Description Master / CDM Operations

• Maintains and optimizes the Charge Description Master to ensure billable services, supplies, devices, drugs, procedures, and other chargeable items are accurately reflected and aligned with CPT, HCPCS, revenue code, payer, and regulatory requirements.
• Reviews, evaluates, and approves new or revised department charges to ensure appropriate coding, billing compliance, and prevention of overcharging, undercharging, or missed revenue opportunities.
• Serves as the primary point of contact for CDM related questions and issues.
• Coordinates with clinical systems, Epic applications, billing workflows, and affected operational departments to support accurate charge generation and downstream revenue cycle processes.