Reimbursement and CDM Manager, Day Shift, Reimbursement
Core
Manage hospital reimbursement performance, revenue recognition, and the Charge Description Master (CDM) to ensure regulatory compliance and accurate billing across all entities.
Role type
Senior Reimbursement and CDM Manager
Builds
Monthly revenue packets, regulatory filings (HSCRC, Medicare Cost Reports), and CMS Price Transparency files
Domain
Healthcare / Hospital Finance / Revenue Cycle
Required skills
Healthcare reimbursement methodologies, Global Budget Revenue (GBR), HSCRC regulatory reporting, CDM maintenance, Medicare reimbursement, CPT/HCPCS codes, budget reconciliation, stakeholder collaboration
Preferred skills
Maryland HSCRC experience, Epic Resolute Hospital Billing, Epic CDM, Epic implementation projects, Power BI, CMMI AHEAD Model
Technologies
Epic Resolute, Epic CDM, Power BI, HSCRC systems
Responsibilities
Monitor GBR performance and unit rate compliance; prepare monthly reimbursement packets and journal entries; oversee CDM review, approval, and maintenance; schedule and analyze volume/revenue reports; prepare quarterly HSCRC and annual Medicare filings; reconcile HSCRC rate orders; support CMS Price Transparency compliance
Seniority
Senior, hands-on IC with leadership capabilities