Chargemaster & Revenue Integrity Lead

Montage Health; United States; On-site; USD 109,000 - 146,000; Full time

Job summary

Montage Health seeks a Revenue Integrity & Chargemaster Coordinator to lead the CDM governance, pricing accuracy, and compliance across the hospital. You will drive charge capture best practices, perform audits, and partner with Finance, HIM, and Clinical teams to strengthen revenue integrity and reimbursement outcomes.

The role emphasizes collaboration with external auditors and internal stakeholders to ensure accurate charging and regulatory compliance, with a focus on preventing revenue

Qualifications

• Five or more years of progressively responsible experience in healthcare revenue cycle operations.
• Experience with hospital CDM management, charge capture, pricing methodologies, and reimbursement.
• Knowledge of Medicare, Medi-Cal, and commercial payer reimbursement rules.

Responsibilities

• Maintain and govern the hospital CDM, including charge creation, CPT/HCPCS updates, revenue code assignments, pricing support, and annual maintenance activities.
• Perform revenue integrity audits to evaluate charge capture accuracy, reimbursement opportunities, coding consistency, and billing compliance.
• Identify and investigate revenue leakage, charging errors, missed charges, and operational workflow deficiencies impacting financial performance.
• Monitor, analyze, and support resolution of revenue-related Epic work queues, charge edits, and operational charging issues.
• Collaborate with HIM, Compliance, Finance, Patient Financial Services, Internal Audit, and clinical departments to ensure complete and compliant charge capture processes.
• Perform retrospective account reviews and provide recommendations for charge corrections, coding updates, and process improvements.

Skills

Revenue integrity

CDM governance

Charge capture

Audits

Education

High School Diploma or GED

Associate's or Bachelor's Degree in Business/Healthcare Administration

Job description

Montage Health seeks a Revenue Integrity & Chargemaster Coordinator to lead the CDM governance, pricing accuracy, and compliance across the hospital. You will drive charge capture best practices, perform audits, and partner with Finance, HIM, and Clinical teams to strengthen revenue integrity and reimbursement outcomes.

The role emphasizes collaboration with external auditors and internal stakeholders to ensure accurate charging and regulatory compliance, with a focus on preventing revenue