Found Description
Responsibilities
- Lead the strategic oversight, maintenance, and optimization of the Charge Description Master (CDM)
- Partner with operational, finance, clinical, compliance, and IT teams to improve revenue integrity processes
- Monitor and maintain compliance with CPT, HCPCS, ICD-10, CMS, and payer requirements
- Conduct CDM audits and identify opportunities for charge capture accuracy and reimbursement improvement
- Manage annual and ongoing code set updates, pricing reviews, and regulatory changes
- Analyze reimbursement trends and recommend operational and pricing enhancements
- Support system implementations, upgrades, and integrations impacting CDM workflows, including Epic
- Develop best practices and provide guidance to department leaders on CDM governance and charge capture processes
- Assist with resolving billing discrepancies, denials trends, and compliance risks
- Drive process im...
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