Charge Description Master

About the Role

We are looking for a seasoned Revenue Integrity & CDM Analyst to join a large healthcare system in Houston! This role is all about cleaning up and managing the Charge Description Master (CDM), getting things organized, and making sure the system's charge structures align back to standard foundation guidelines.

If you know Epic inside and out, understand hospital-side billing compliance, and love diving into the details, this is a great fit for you.

What You'll Do

CDM Consolidation: Review and clean up the current CDM to bring the charge structures back to standard foundation guidelines.

Epic EHR Management: Work within Epic to maintain the CDM, specifically setting up and configuring EAP records (Procedure Masters).

Charge Auditing & Revenue Integrity: Run charge audits and monitor revenue integrity processes to keep charge captures accurate and compliant.

Hospital Billing Compliance: Handle the technical side of hospital billing (facility/technical billing, not professional/physician billing), including UB04 claims and HIPAA 1500 forms.

Regulatory Monitoring: Review and clear NCCI alerts, and make sure everything adheres to PPS, DRE, and LCDs/NCDs.

Team Collaboration: Work closely with leadership and departmental stakeholders to keep the consolidation project moving forward.

Experience

7+ years of experience in the healthcare revenue cycle space.

Project History: Real experience with CDM consolidation and "back to foundation" initiatives.

Organization Size: Experience working in a large, urban healthcare system

Certifications & Education

Active Coding Certification: A current coding credential through AHIMA or AAPC.

Education: A Bachelor's degree is preferred, but an Associate degree works too if you have the 7+ years of heavy CDM experience.

Preferred

Outpatient Coding Focus: A Certified Outpatient Coder (COC) OR Certified Professional Coder (CPC) are a huge plus since this role focuses on hospital outpatient billing

Job Type: Full-Time, Permanent