CDM Manager

Wilshire, a healthcare revenue cycle management firm, is hiring a Charge Description Master (CDM) Manager to oversee the organization's CDM, ensure compliance, and optimize revenue processes. The role is suited for experienced professionals in healthcare administration or billing.

Location: Remote (Global)

Salary: $80.00 per hour, Contract 6+ months, W2

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
• 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

• 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