Employment Type:

Shift:

Description:

Trinity Health of New England Medical Group is seeking an experienced Revenue and Charge Description Master (CDM) Optimization Liaison to ensure the accuracy integrity and compliance of our charge capture processes. This role provides subject matter expertise related to CPT coding billing requirements pricing and regulatory compliance while supporting optimal revenue capture across the organization.

The position will oversee CDM maintenance across all information systems coordinate updates with System Office CDM and Compliance teams and ensure adherence to Medicare and third-party payer guidelines. Working closely with clinical departments physicians Information Systems Finance and Patient Business Services this role proactively improves charging workflows and resolves pre-billing issues through data analysis and root cause reviews.

What you will do:

• Maintain Charge Description Master (CDM) accuracy across systems to ensure compliant optimized charge capture
• Serve as subject matter expert for CPT coding billing pricing and regulatory requirements
• Collaborate with clinical IS Finance Compliance and Revenue Cycle teams to resolve pre-billing issues and improve workflows
• Conduct CDM audits charge capture education denial review and data-driven root cause analysis
• Support pricing compliance and payer initiatives while operating independently; regional travel required

Qualifications:

• Education & Expertise: Bachelors degree (or equivalent experience) with strong knowledge of charge master maintenance clinical processes coding (CPT ICD9 revenue codes modifiers) charging audits billing and revenue cycle functions; CDM oversight preferred.
• Experience & Credentials: 5 years in billing charge documentation/audit or revenue cycle roles; strong knowledge of payer rules OPPS/APC OCE/CCI edits and DNFB; coding and compliance certifications (RHIA RHIT CCS CPC/COC CDC) strongly preferred.
• Technical Skills: Advanced MS Excel Access Business Objects; strong proficiency in Word and PowerPoint; experience with electronic charge capture and billing systems.
• Professional Skills: Excellent communication organization leadership and interpersonal skills; detailoriented strong time management; able to work independently manage multiple priorities and lead meetings or process improvement initiatives.

Position Highlights and Benefits:

• Day shift
• Great benefits effective day 1!
• Competitive pay
• Mission driven team environment

We are a group of primary care providers specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England we offer primary care specialty care surgery urgent care rehabilitation and imaging and lab services for thousands of patients every year

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.