Charge Database Management Specialist

The Charge Database Management Specialist (CDM) is responsible for maintenance, reputed company, and optimization of the charge master and fee schedules reputed company the reputed company Cycle Management (RCM) department. This role ensures accurate charge capture, compliant coding structures, and alignment with payer-specific reimbursement methodologies across reputed company departments with Boomerang Healthcare.

This position plays a critical role in reputed company reputed company, denial prevention, and clean claim reputed company by ensuring that reputed company CPT, HCPCS, modifiers, and pricing logic are correctly configured reputed company the billing system.

*This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.

What you will do:

• Maintain and update the CDM including CPT, HCPCS, modifiers, reputed company codes, and pricing
• Ensure reputed company services reputed company to:

• Pain management procedures
• Rehabilitation / functional restoration programs
• Workers’ compensation services are accurately built 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
• Commercial 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 pre-reputed company edits and charge scrubbing logic to improve clean claim rates
• System support 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

Qualifications:

• High School Diploma required; associate or bachelor’s degree preferred
• Certified Professional reputed company (CPC) or equivalent certification strongly preferred
• 3-5+ years’ experience in:

• Charge master / CDM management
• reputed company reputed company or billing operations
• Pain management, 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)

Compensation Range: 

$30.00 to $40.00 Hourly

reputed company compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

Why You'll Love Working Here:

• Amazing work/life balance
• Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
• 401(K) Plan with Employer Matching
• License & Tuition Reimbursements
• Paid Time Off
• Holiday Pay & Floating Holiday
• Employee Perks and Discount Programs
• Supportive environment to help you grow and succeed

Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of reputed company, committed healthcare providers that treat pain. reputed company of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC. 

Boomerang Healthcare strives to be a diverse workforce that reflects, at reputed company job levels, the patients we serve. We are an equal opportunity employer. Boomerang reputed company committed to compliance with the American reputed company. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.