Reimbursement and CDM Manager, Day Shift, Reimbursement
Core
Manage hospital reimbursement performance, revenue recognition, and the Charge Description Master (CDM) for Adventist HealthCare entities.
Role type
Senior Reimbursement and CDM Manager
Builds
Monthly revenue packets, regulatory reports (HSCRC, Medicare), and CDM governance frameworks.
Domain
Healthcare / Hospital Finance / Revenue Cycle
Required skills
Healthcare reimbursement, HSCRC reporting, CDM maintenance, Medicare compliance, budget reconciliation, regulatory filings, charge governance, Epic Resolute, Power BI
Preferred skills
Maryland HSCRC experience, Epic implementation, CMMI AHEAD Model, Managed Care pricing, team leadership
Technologies
Epic Resolute, Epic CDM, Power BI, HSCRC systems
Responsibilities
Monitor GBR performance and unit rate compliance; prepare monthly reimbursement and revenue packets; oversee CDM review, approval, and maintenance; schedule and download volume/revenue reports; prepare quarterly HSCRC and Medicare cost reports; perform budget reconciliations of HSCRC rate orders; prepare workpapers for annual filings and audits; prepare CMS Hospital Price Transparency files.
