Employment Type:

Full time

Shift:

Day 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: Bachelor’s degree (or equivalent experience) with strong knowledge of charge master maintenance, clinical processes, coding (CPT, ICD‑9, 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; detail‑oriented, 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.