CDM Manager

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Quick Summary

Overview

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

Key Responsibilities

Oversee the development, maintenance, and optimization of the Charge Description Master (CDM) Ensure accuracy and compliance with CPT, HCPCS, and ICD-10 coding standards Collaborate with departments to review and validate charge capture processes…

Requirements Summary

Bachelor’s degree in Healthcare Administration, Health Information Management, Finance, or related field (required) 5+ years of experience in revenue integrity, CDM management, or hospital billing Strong knowledge of CPT, HCPCS, and ICD-10 coding…

Technical Tools

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The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

The Charge Description Master (CDM) Manager is responsible for the strategic oversight, integrity, and maintenance of the organization’s CDM. This role ensures accurate charge capture, regulatory compliance, and alignment with coding and billing requirements to support optimal reimbursement.

Responsibilities

~1 min read

→Oversee the development, maintenance, and optimization of the Charge Description Master (CDM)
→Ensure accuracy and compliance with CPT, HCPCS, and ICD-10 coding standards
→Collaborate with departments to review and validate charge capture processes
→Conduct routine CDM audits to identify discrepancies, pricing issues, and compliance risks
→Coordinate updates related to regulatory changes, payer requirements, and annual code set revisions
→Partner with revenue integrity, finance, compliance, and clinical teams
→Analyze reimbursement trends and recommend pricing and charge structure improvements
→Support system updates and integrations impacting CDM (including Epic)
→Provide education and training to department leaders and staff on CDM-related processes

Requirements

~1 min read

Bachelor’s degree in Healthcare Administration, Health Information Management, Finance, or related field (required)
5+ years of experience in revenue integrity, CDM management, or hospital billing
Strong knowledge of CPT, HCPCS, and ICD-10 coding systems
Experience working with healthcare billing systems (Epic strongly preferred)
Familiarity with CMS regulations and payer reimbursement methodologies

Requirements

~1 min read

Certification such as RHIA, RHIT, CPC, or CCS
Experience with charge capture optimization and revenue integrity programs
Strong analytical and problem-solving skills
Advanced Excel or data analysis experience

Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.