Fairview Health Services · 1 day ago
Charge Description Master and Pricing Program Analyst
St Paul, MN
Full-time
Onsite
Senior Level
5+ years expFairview Health Services is seeking a Revenue Integrity CDM and Pricing Program Specialist who will be responsible for ensuring the accuracy, compliance, and strategic alignment of the charge description master (CDM) and pricing structures. The role involves conducting research and analysis to maintain appropriate pricing across service lines while collaborating with various stakeholders to optimize revenue capture and ensure compliance with regulations.
AssociationHealth CareHospitalMedical
Responsibilities
Leads and coordinates comprehensive analysis and maintenance of the CDM within the Epic EHR system
Ensures alignment with CPT/HCPCS coding standards, NUBC guidelines, revenue codes, payer requirements, and regulatory mandates
Partners with Payer Relations to shape enterprise pricing strategies that balance financial goals, market competitiveness, and patient affordability
Identifies and communicates emerging risks or opportunities in pricing application and recommends sustainable solutions
Supports, cross-functional initiatives that integrate CDM and pricing strategies to identify, implement and optimize revenue capture and maintain compliant pricing structures
Collaborates with Payer Relations and other stakeholders to Analyze system-wide CDM and pricing system configurations and operational workflows ensuring alignment and standardization across the organization
Ensures that project requests and system changes are implemented effectively and in compliance with applicable standards
Identifies, documents and ensures structural requirements, charging mechanisms, and reimbursement impacts within the Epic system are implemented and optimized?
Identifies, promotes, develops and maintains standardized CDM and Pricing workflows, tools and reference materials; provides education and feedback to ensure consistent application across all team members
Fosters strong partnerships to ensure revenue changes, pricing, other are aligned and accurate with Revenue Cycle, clinical departments, IT, and Finance to support enterprise-wide alignment
Sustain an integrated CDM and pricing structure that supports compliant and efficient charge setup
Ensure alignment with regulatory requirements and internal standards
Conduct deep-dive analyses of charging workflows, pricing models, and revenue data
Identify strategic opportunities such as pricing misalignments, charge capture inefficiencies, or reimbursement risks that affect financial performance; compiles findings and recommends corrective or optimization strategies for leadership review and decision-making
Maintain expert-level knowledge of CPT/HCPCS coding and pricing regulations
Research, interpret, and lead the implementation of complex regulatory changes across CDM and pricing systems
Serve as the subject matter expert for CDM and pricing
Communicate and manage system and process changes to ensure stakeholder alignment and operational readiness
Partner with stakeholders to proactively scope and launch integrated projects addressing charging and pricing risks
Advance revenue integrity through strategic collaboration and project execution
Act as the primary resource for resolving escalated technical and process issues related to CDM and pricing
Provide specialized guidance to internal teams and business partners
Qualification
Required
B.S./B.A. in applicable field. Four (4) years of applicable experience may substitute for a bachelor's degree
5 years of direct CDM Experience or
5 years in Finance, Accounting, or related healthcare revenue position
Requires current Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Hospital Billing Charging Epic Upon Hire or Resolute Hospital Billing Claims Epic Upon Hire or Resolute Professional Billing Charging Epic Upon Hire or Resolute Professional Billing Claims Epic Upon Hire
Preferred
Masters in Business Admin Master's degree in finance, Accounting, or related healthcare field
10 years of applicable Revenue Cycle experience
Possess one or more of the following professional industry certifications: Registered Health Info Tech (RHIT) AHIMA Upon Hire or Registered Health Info Admin (RHIA) AHIMA Upon Hire or Certified Coding Specialist (CCS) AHIMA Upon Hire or Certification in Healthcare Revenue Integrity (CHRI) NAHRI Upon Hire or Certified Professional Coder (CPC) AAPC Upon Hire
Benefits
Medical
Dental
Vision plans
Life insurance
Short-term and long-term disability insurance
PTO and Sick and Safe Time
Tuition reimbursement
Retirement
Early access to earned wages
More!
Company
Fairview Health Services
Fairview Health Services is a nonprofit healthcare organization that provides various medical and wellness services.
10001+ employees
H1B Sponsorship
Fairview Health Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (5)
2023 (3)
2022 (9)
2021 (7)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-15Acquired
Leadership Team
James Hereford
President and CEO
Joe Gaylord
Executive Vice President & Chief Financial Officer
Recent News
2025-12-17
Twin Cities Business
2025-12-09
2025-11-23
Company data provided by crunchbase