CHARGE DESCRIPTION MASTER (CDM) ANALYST

Harris Health is looking for Charge Description Master candidates.  They must have a coding certification through AAPC or AHIMA.

Position Summary

Our hospital client is seeking a detail-oriented Charge Description Master (CDM) Analyst to support the integrity, maintenance, and optimization of the organization's Charge Description Master (CDM). This role is responsible for ensuring accurate charge capture, regulatory compliance, revenue integrity, and alignment with CMS, Medicare, Medicaid, and commercial payer requirements. The CDM Analyst collaborates with Revenue Cycle, Finance, Patient Financial Services, Clinical Departments, Coding, Compliance, and Information Technology to maintain accurate charging practices and maximize appropriate reimbursement.

Key Responsibilities

• Maintain, review, and update the hospital's Charge Description Master (CDM) to ensure accuracy and regulatory compliance.
• Perform routine audits of CDM data, charge capture processes, and departmental charging workflows.
• Research and implement annual and quarterly regulatory updates, including CPT®, HCPCS, ICD-10, Medicare OPPS/IPPS, NCCI edits, and payer-specific billing requirements.
• Analyze charge capture trends and identify opportunities to improve revenue integrity while minimizing billing errors and denials.
• Partner with clinical departments to review new services, procedures, supplies, medications, and equipment to establish appropriate charges.
• Collaborate with Revenue Integrity, Coding, Compliance, Finance, and IT teams to implement CDM updates and system changes.
• Assist with pricing reviews and recommend appropriate charge structures based on reimbursement methodologies and organizational strategy.
• Investigate charging discrepancies and resolve billing issues affecting reimbursement.
• Support internal and external audits related to charge capture, billing compliance, and reimbursement.
• Monitor regulatory publications and communicate changes impacting hospital charging practices.
• Develop and maintain CDM documentation, policies, procedures, and change management records.
• Provide education and guidance to departmental leaders on proper charging and documentation practices.
• Participate in revenue cycle optimization initiatives and process improvement projects.

Required Qualifications

• Bachelor's degree in Healthcare Administration, Health Information Management, Finance, Business Administration, or related field (or equivalent experience).
• Minimum of 3 years of experience in Charge Description Master (CDM), Revenue Integrity, Revenue Cycle, Hospital Billing, Coding, or Healthcare Finance.
• Strong understanding of hospital charging, reimbursement methodologies, and revenue cycle operations.
• Knowledge of:
  • CPT®, HCPCS, and ICD-10 coding
  • Medicare OPPS/IPPS reimbursement
  • CMS regulations
  • NCCI edits
  • Revenue Integrity best practices
• Experience working with hospital information systems and electronic health records (Epic preferred).
• Advanced Microsoft Excel skills with experience performing data analysis and reporting.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent written and verbal communication skills.

Preferred Qualifications

• Certified Revenue Cycle Representative (CRCR)
• Certified Healthcare Financial Professional (CHFP)
• Certified Coding credentials (RHIA, RHIT, CCS, CPC, or equivalent)
• Experience supporting Epic Resolute Hospital Billing, Epic Charge Router, Epic Revenue Cycle, or other major hospital billing systems.
• Experience with SQL, reporting tools, or healthcare analytics platforms.

Desired Skills

• Charge Description Master (CDM) maintenance
• Revenue Integrity
• Hospital Revenue Cycle
• Charge Capture Optimization
• Healthcare Reimbursement
• Regulatory Compliance
• CPT/HCPCS Coding Knowledge
• Medicare & Medicaid Billing
• Data Analysis
• Revenue Recovery
• Audit Support
• Process Improvement
• Cross-functional Collaboration
• Financial Reporting

Work Environment

• Hybrid or on-site based on organizational needs.
• May require occasional after-hours support during regulatory updates or major system implementations.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced healthcare environment.

What Success Looks Like

The successful candidate will maintain an accurate and compliant Charge Description Master, improve charge capture processes, reduce billing errors and denials, support regulatory compliance, and contribute to maximizing appropriate reimbursement while partnering effectively across clinical, financial, and operational teams.