UC San Diego
#137810 CDM Analyst - Remote
Remote. Filing Deadline: Tue 12/30/2025.
UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.
Candidates hired into this position may have the ability to work remotely.
DESCRIPTION UC San Diego Health’s Revenue Cycle department supports the organization’s mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.
You can be part of the team responsible for building and maintaining charge master records for the health system. You'll ensure that chargemaster changes are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other policies. You'll apply your extensive knowledge of billing, coding, and pricing practices, as well as data analysis skills, to monitor, maintain, and improve the charge master records.
RESPONSIBILITIES
Assist with development and maintenance of charge codes and prices in partnership with Finance and Operations departments.
Investigate and resolve charge records from work queues assigned to the Charge Description team.
Conduct quarterly, annual, or as-needed reviews to ensure that the Charge Description Master is updated for new and revised CPT4/HCPCS codes while maintaining compliance with CMS, Medi-Cal, and health plan billing regulations.
Comply with the Charge Master Department’s policy and procedures related to charge codes and descriptions.
Collaborate with the Revenue Integrity, Charge Reconciliation, Coding, and IS teams on the routine review of charge capture processes.
Manage and conduct special project reviews that require analyzing complex billing/financial data including summarizing data and presenting findings to leadership.
MINIMUM QUALIFICATIONS
Seven (7) years of related experience, or a Bachelor’s degree in a related area plus three (3) years of related experience/training. Related experience: Professional or Hospital Chargemaster experience, Revenue Integrity including charge structure and analysis, Professional and/or Hospital billing or finance including pricing strategies.
Thorough knowledge of data analysis and CDM. Applies knowledge to identify deficiencies in financial documents and reports.
Knowledge of CDM, medical center, and UC policies and processes. Thorough knowledge of relevant CDM federal, state and local laws and regulations to identify potential compliance risks.
Strong technical skills to maintain CDM. Ability to produce high quality work and keep commitments. Productive in work volume, speed, quality and consistency.
Proven ability to manage a project from inception to completion, while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions.
Interpersonal skills to maintain professional relationships with peers, multidisciplinary team members, and management.
Strong skills to evaluate issues and identify solutions within defined procedures and policies.
Verbal and written communication skills to explain technical concepts and articulate reasoning behind own opinions.
Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization’s CDM application programs to teach others.
Strong teaching skills. Ability to break down complex concepts in an understandable way. Thorough knowledge of data management and documentation methods used in Charge Description.
PREFERRED QUALIFICATIONS
Epic PB or HB Charging Certification/Accreditation.
Prior experience and/or knowledge of regulations on charging and billing practices for Medicare, Medi-Cal, and other payers (UB04 and/or CMS1500).
Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations.
Knowledge of CPT, HCPCS, and Medi-Cal coding guidelines and regulations; ability to utilize relevant reference resources (e.g., Federal Register, CMS memorandums, etc.).
Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes.
Understanding of compliance issues and their importance and consequences.
Knowledge of EPIC system, particularly Resolute Hospital Billing and Resolute Professional Billing or SBO.
Advanced knowledge of Microsoft Office, particularly Excel.
Experience with project processes and facilitation of teams.
Strong analytical, problem-solving, communication, interpersonal, and collaboration skills.
SPECIAL CONDITIONS
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre‑employment physical.
PAY TRANSPARENCY ACT Annual Full Pay Range:
$71,600 - $127,400 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent:
$34.29 - $61.02
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.
If applicable, life‑support certifications (BLS, NRP, ACLS, etc.) must include hands‑on practice and in‑person skills assessment; online‑only certification is not acceptable.
UC San Diego Health is the only academic health system in the San Diego region, providing leading‑edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute‑designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!
Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.
Misconduct Disclosure Requirement:
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
a. “Misconduct” means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct:
UC Sexual Violence and Sexual Harassment Policy
UC Anti-Discrimination Policy
Abusive Conduct in the Workplace
#J-18808-Ljbffr
UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.
Candidates hired into this position may have the ability to work remotely.
DESCRIPTION UC San Diego Health’s Revenue Cycle department supports the organization’s mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.
You can be part of the team responsible for building and maintaining charge master records for the health system. You'll ensure that chargemaster changes are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other policies. You'll apply your extensive knowledge of billing, coding, and pricing practices, as well as data analysis skills, to monitor, maintain, and improve the charge master records.
RESPONSIBILITIES
Assist with development and maintenance of charge codes and prices in partnership with Finance and Operations departments.
Investigate and resolve charge records from work queues assigned to the Charge Description team.
Conduct quarterly, annual, or as-needed reviews to ensure that the Charge Description Master is updated for new and revised CPT4/HCPCS codes while maintaining compliance with CMS, Medi-Cal, and health plan billing regulations.
Comply with the Charge Master Department’s policy and procedures related to charge codes and descriptions.
Collaborate with the Revenue Integrity, Charge Reconciliation, Coding, and IS teams on the routine review of charge capture processes.
Manage and conduct special project reviews that require analyzing complex billing/financial data including summarizing data and presenting findings to leadership.
MINIMUM QUALIFICATIONS
Seven (7) years of related experience, or a Bachelor’s degree in a related area plus three (3) years of related experience/training. Related experience: Professional or Hospital Chargemaster experience, Revenue Integrity including charge structure and analysis, Professional and/or Hospital billing or finance including pricing strategies.
Thorough knowledge of data analysis and CDM. Applies knowledge to identify deficiencies in financial documents and reports.
Knowledge of CDM, medical center, and UC policies and processes. Thorough knowledge of relevant CDM federal, state and local laws and regulations to identify potential compliance risks.
Strong technical skills to maintain CDM. Ability to produce high quality work and keep commitments. Productive in work volume, speed, quality and consistency.
Proven ability to manage a project from inception to completion, while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions.
Interpersonal skills to maintain professional relationships with peers, multidisciplinary team members, and management.
Strong skills to evaluate issues and identify solutions within defined procedures and policies.
Verbal and written communication skills to explain technical concepts and articulate reasoning behind own opinions.
Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization’s CDM application programs to teach others.
Strong teaching skills. Ability to break down complex concepts in an understandable way. Thorough knowledge of data management and documentation methods used in Charge Description.
PREFERRED QUALIFICATIONS
Epic PB or HB Charging Certification/Accreditation.
Prior experience and/or knowledge of regulations on charging and billing practices for Medicare, Medi-Cal, and other payers (UB04 and/or CMS1500).
Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations.
Knowledge of CPT, HCPCS, and Medi-Cal coding guidelines and regulations; ability to utilize relevant reference resources (e.g., Federal Register, CMS memorandums, etc.).
Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes.
Understanding of compliance issues and their importance and consequences.
Knowledge of EPIC system, particularly Resolute Hospital Billing and Resolute Professional Billing or SBO.
Advanced knowledge of Microsoft Office, particularly Excel.
Experience with project processes and facilitation of teams.
Strong analytical, problem-solving, communication, interpersonal, and collaboration skills.
SPECIAL CONDITIONS
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre‑employment physical.
PAY TRANSPARENCY ACT Annual Full Pay Range:
$71,600 - $127,400 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent:
$34.29 - $61.02
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.
If applicable, life‑support certifications (BLS, NRP, ACLS, etc.) must include hands‑on practice and in‑person skills assessment; online‑only certification is not acceptable.
UC San Diego Health is the only academic health system in the San Diego region, providing leading‑edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute‑designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!
Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.
Misconduct Disclosure Requirement:
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
a. “Misconduct” means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct:
UC Sexual Violence and Sexual Harassment Policy
UC Anti-Discrimination Policy
Abusive Conduct in the Workplace
#J-18808-Ljbffr