Revenue Integrity & CDM Operations Manager

Accountabilities

• Lead the end-to-end strategy, governance, maintenance, and optimization of the Charge Description Master (CDM), ensuring accuracy, compliance, and alignment with revenue integrity goals.


• Partner with cross-functional teams including finance, clinical operations, IT, and compliance to improve charge capture workflows and reduce revenue leakage.


• Conduct CDM audits, identify discrepancies, and implement corrective actions to improve billing accuracy and reimbursement outcomes.


• Manage updates to code sets, pricing structures, and regulatory requirements including CPT, HCPCS, ICD-10, and CMS guidelines.


• Analyze reimbursement trends, denial patterns, and operational data to recommend performance and pricing improvements.


• Support system implementations, upgrades, and integrations impacting CDM workflows, including EMR platforms such as Epic.


• Develop governance frameworks, best practices, and documentation to standardize CDM operations across departments.

Requirements

• Bachelor’s degree in Healthcare Administration, Health Information Management, Finance, or a related field.


• 5+ years of experience in Revenue Integrity, CDM management, hospital billing, or healthcare reimbursement operations.


• Strong knowledge of CPT, HCPCS, ICD-10, CMS regulations, and payer reimbursement methodologies.


• Hands-on experience with hospital billing systems and EMR platforms, with Epic preferred.


• Strong analytical, problem-solving, and organizational skills with the ability to manage multiple priorities in fast-paced environments.


• Experience working with healthcare data, reporting tools, and Excel-based analysis.


• Preferred certifications such as RHIA, RHIT, CPC, or CCS.


• Strong communication skills with the ability to collaborate across technical, clinical, and financial stakeholders.

Benefits

• Remote-first work model with flexibility


• 6+ month contract engagement (W2 employment)


• Competitive hourly rate (approximately $80/hour)


• Opportunity to work with large-scale healthcare systems and high-impact revenue cycle initiatives


• Exposure to complex enterprise environments and advanced healthcare technologies


• Collaborative consulting environment with experienced industry professionals


• Meaningful work focused on improving financial performance and patient billing accuracy

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