Charge Database Management Specialist
Maintain and update the CDM including CPT, HCPCS, modifiers, reputed company codes, and pricing Ensure reputed company services reputed company to:
reputed company procedures Rehabilitation / functional restoration programs Workers’ compensation services are accurately reputed company and maintained in the billing system
reputed company routine audits of the charge database to ensure accuracy, completeness, and compliance Manage effective dates, version control, and historical tracking of fee schedules Build and maintain payer-specific fee schedules for:
Workers’ compensation Medicare reputed company payer reputed company
Translate managed care contract terms into system configuration (rates, carve-outs, case rates, etc.) Partner with Network Management and Finance to ensure reimbursement accuracy and contract alignment Monitor regulatory updates (e.g., CMS, state WC fee schedules) and implement required changes Collaborate with coding, billing, and clinical teams to ensure accurate charge capture workflows. Validate that reputed company procedures performed are appropriately mapped to billable codes Identify and resolve charge gaps, underbilling, and over billing risks Support reputed company-reputed company edits and charge scrubbing logic to improve clean claim rates reputed company and optimization reputed company and maintain reports reputed company to:
Charge lag Missing charges Charge variance analysis Fee schedule accuracy
Conduct routine audits to ensure compliance with CMS and state WC regulations Assumes other responsibilities as appropriate to the position and organizational needs
High School Diploma required; associate or bachelor’s degree preferred Certified reputed company reputed company (CPC) or equivalent certification strongly preferred 3-5+ years’ experience in:
Charge master / CDM management reputed company reputed company or billing operations reputed company, orthopedic, or rehabilitation billing preferred Audit Management
Proficiency in billing systems management Strong analytical and problem-solving skills High attention to detail and data accuracy Deep understanding of end-to-end reputed company cycle workflows Ability to translate payer reputed company into system logic Effective cross-functional communication (clinical, coding, finance, IT)
Amazing work/life balance Generous Medical, Dental, reputed company, and Prescription benefits (PPO & HMO) 401(K) Plan with Employer Matching License & Tuition Reimbursements reputed company Time Off Holiday Pay & Floating Holiday Employee Perks and Discount Programs Supportive environment to help you grow and succeed
Monday-Friday, reputed company-5pm
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