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Sidra Medicine

Specialist - Chargemaster

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JOB SUMMARY

​​Specialist - Chargemaster and Revenue Integrity​ is responsible for the development, maintenance, and integrity of the hospital Charge Description Master (CDM). This role ensures accurate charge capture, compliant billing practices, and alignment with federal and state regulations, payer requirements, and internal policies. The CDM Analyst works collaboratively with clinical departments, coding, billing, finance, and compliance teams to support revenue integrity and minimize financial and regulatory risk.

KEY ROLE ACCOUNTABILITIES

CDM Management & Maintenance

  • Maintains and update the hospital CDM, including CPT/HCPCS codes, revenue codes, descriptions, pricing, modifiers, and units of service.

  • Performs regular CDM audits to ensure accuracy, consistency, and compliance with regulatory and payer requirements.

  • Implements CDM updates related to annual CPT/HCPCS changes, CMS regulations, and payer contract updates.

Revenue Integrity & Compliance

  • Ensures CDM compliance with CMS, Medicare, Medicaid, OIG, NCCI edits, and other regulatory guidelines.

  • Identifies and corrects charge capture, billing, and reimbursement issues to prevent revenue leakage and compliance risk.

  • Supports internal and external audits by providing CDM data, documentation, and analysis.

Charge Capture & Pricing

  • Collaborates with clinical departments to ensure accurate charge capture workflows and appropriate charging practices.

  • Assists with CDM pricing reviews and updates in alignment with hospital pricing strategies and payer contracts.

  • Analyzes charge data to identify trends, undercharging, overcharging, or missed revenue opportunities.

Collaboration & Education

  • Serves as a liaison between clinical departments, coding, billing, finance, IT, and compliance teams.

  • Provides education and guidance to clinical and operational staff on charge capture, CDM structure, and billing rules.

  • Participates in revenue integrity initiatives, system upgrades, and revenue cycle optimization projects.

Reporting & Analysis

  • Develops and run reports related to CDM accuracy, charge activity, denials, and revenue impact.

  • Monitors key performance indicators (KPIs) related to charge capture and revenue integrity.

  • Recommends process improvements based on data analysis and audit findings.

Adheres

  • Treats colleagues, patients, and visitors with dignity and respect at all times and promotes and maintains effective communication and teamwork

  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

  • Adheres to and promotes Sidra’s Values

QUALIFICATIONS, EXPERIENCE AND SKILLS – SELECTION CRITERIA

ESSENTIAL

PREFERRED

Education

Bachelor’s Degree in Commerce, Health Information Management, or a Health related discipline

Masters in relevant field.

Experience

  • 5+ years of CDM experience in a complex acute care organization similar to Sidra

Certification and Licensure

Coding certification CPC,CCS from AAPC or AHIMA

Professional Membership

Job Specific Skills and Abilities

  • Strong knowledge of CPT, HCPCS, ICD-10-PCS, revenue codes, and CMS billing regulations.

  • Understanding of hospital reimbursement methodologies (OPPS, IPPS, APCs, DRGs).

  • Knowledge of hospital accounting systems and practices as related to patient billing.

  • Excellent communication and collaboration abilities.

  • Proficiency with Microsoft Office suite.

  • Fluency in written and spoken English

Arabic language skills