Charge Database Management Specialist

• Maintain and update the CDM including CPT, HCPCS, modifiers, revenue codes, and pricing
• Ensure all services related to:

• Pain management procedures
• Rehabilitation / functional restoration programs
• Workers’ compensation services are accurately built and maintained in the billing system

• Perform 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 contracts

• 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 all procedures performed are appropriately mapped to billable codes
• Identify and resolve charge gaps, underbilling, and over billing risks
• Support pre-bill edits and charge scrubbing logic to improve clean claim rates
• System support and optimization
• Develop and maintain reports related 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

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

• Charge master / CDM management
• Revenue Integrity 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 revenue cycle workflows
• Ability to translate payer contracts into system logic
• Effective cross-functional communication (clinical, coding, finance, IT)

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 experienced, committed healthcare providers that treat pain. Our team 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 all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.