Manager Charge Description Master & Revenue Integrity
$89.46k - $161.02kBoston Medical Center
- # Manager Charge Description Master & Revenue IntegrityApplylocations: GBMC Hospitaltime type: Full timeposted on: Posted Todayjob requisition id: JR107437Reporting directly to the Executive Director of Revenue Cycle, the role is responsible for directing the development, coordination, implementation, and oversight of the charge defense master and revenue integrity functions.**Education:**Bachelor’s degree in business administration, Finance or Healthcare Administration. Master’s degree preferred (including RN, NP, PA). Clinical background as RN, NP, or PA preferred.**Experience:*** Minimum of four (4) years of clinical experience or three to five (3-5) years of experience in CDM related revenue cycle processes required.* Hospital billing and finance background strongly preferred.* Knowledge of Medicare, Medicaid and other 3rd party billing rules/coverage.* Professional-level experience with EPIC.* Excellent written and communication skills.* Proven analytical, motivation, and critical thinking skills. 3 to 5 years of experience with progressive CDM leadership experience**Certifications and Licensures:*** CPC-H, CPC, or RHIT certification preferred.* EPIC certification in CDM Management and EPIC Hospital Resolute Billing preferred OR* EPIC certified, must obtain within 12 months.* Epic PB Router certification OR* Other EPIC certifications preferred* RN, PA, NP License preferred.**Skills:*** **Epic CDM Management:** Maintain, update, review, and validate Charge Description Master records, including charge codes, descriptions, pricing, CPT/HCPCS alignment, revenue codes, and effective dates.* **Epic Hospital Resolute Billing:** Knowledge of hospital billing workflows and charge processes.* **Epic PB Router:** Understand professional billing charge routing, charge review workflows, and how charges move from clinical documentation to billing.* **Epic Revenue Cycle Applications:** Research charge capture issues, monitor billing and reimbursement workflows, validate system changes, and support revenue cycle improvement initiatives.* **Medicare, Medicaid, and Third-Party Payer Guidelines:** Apply payer rules, coverage requirements, billing guidelines, and reimbursement policies to support compliant charging and billing practices.* **Microsoft Excel:** Experience with Microsoft Excel would be helpful for the role. Useful skills may include pivot tables, filters, sorting, formulas, lookups, conditional formatting, data validation, reconciliation tools, variance analysis, trend analysis, and reporting summaries to review charge, billing, reimbursement, denial, and revenue integrity data.* **Reporting/Dashboard Tools:** Experience with reporting and analytics platforms would be a nice-to-have for the position. Examples include Epic Reporting Workbench, SlicerDicer, Cogito, Tableau, Microsoft Power BI, SQL-based reporting tools, Crystal Reports, SSRS (SQL Server Reporting Services), and healthcare revenue cycle dashboards used to monitor revenue cycle KPIs, charge capture trends, reconciliation status, lost revenue opportunities, billing variances, denial patterns, and revenue integrity workplan progress.**Physical Requirements:*** Work is primarily performed in an office or hospital administrative setting, with frequent use of a computer, keyboard, mouse, phone, and other standard office equipment.* Requires prolonged periods of sitting and viewing a computer screen while reviewing charge data, billing information, reports, spreadsheets, system workflows, and documentation.* Work may be performed in areas with limited natural light, standard office lighting, and routine exposure to computer screen glare or visual fatigue.* Requires occasional standing, walking, bending, reaching, and lifting or carrying light office materials, files, binders, or equipment up to approximately 10 pounds.* Work may require occasional movement throughout hospital or clinic areas for meetings, workflow review, training, or collaboration with clinical and operational departments.* May have limited exposure to patient care areas or hospital environments where standard precautions are required and where there may be potential exposure to infectious agents, germs, or other healthcare-related environmental conditions.* Requires adherence to organizational safety, infection prevention, confidentiality, and standard precaution policies while working in hospital, clinic, or patient care-adjacent areas.**Principal Duties and Responsibilities:****A. Revenue Integrity Operations*** Directs and oversees revenue integrity functions to support accurate, compliant, and timely charge capture, billing, reimbursement, and revenue cycle performance.* Monitors charge capture, pre-bill edits, charge reconciliation, and revenue integrity reviews to identify billing errors, reduce denials, prevent rework, and support clean claim submission.* Monitors revenue departments’ adherence to charge reconciliation processes, work plan activities, and key performance indicators related to charge capture, billing accuracy, and revenue integrity.* Identifies, investigates, and resolves revenue integrity risks, concerns, variances, and potential compliance issues; escalates matters as appropriate.* Develops tools, reports, and tracking mechanisms to identify potential lost revenue, charge capture gaps, reimbursement opportunities, and process improvement needs.* Monitors regulatory, legislative, payer, coding, billing, and reimbursement changes impacting revenue integrity practices.* Provides periodic and ad hoc reports to the Executive Director of Revenue Cycle regarding revenue integrity program status, corrective actions, risks, findings, and recommended changes.* Develops and delivers revenue integrity education and training for staff and departments in partnership with Revenue Cycle leadership.* Leads revenue integrity meetings, workgroups, staff meetings, and committee discussions to track progress, address issues, and support coordinated revenue cycle improvement.* Partners with Revenue Cycle, Patient Accounting, Finance, IT, Epic, Coding, Managed Care, clinical departments, and operational leaders to improve billing efficiency, collections, payer enrollment, credentialing, charge accuracy, and reimbursement performance.* Supervises, mentors, develops, and evaluates analyst staff supporting patient accounting, revenue integrity, and related operational work.**B. Charge Description Master / CDM Operations*** Maintains and optimizes the Charge Description Master to ensure billable services, supplies, devices, drugs, procedures, and other chargeable items are accurately reflected and aligned with CPT, HCPCS, revenue code, payer, and regulatory requirements.* Leads annual, quarterly, and ongoing CDM maintenance activities, including review of CPT, HCPCS, and revenue code changes to ensure accuracy, compliance, and reimbursement optimization.* Reviews, evaluates, and approves new or revised department charges to ensure appropriate coding, billing compliance, and prevention of overcharging, undercharging, or missed revenue opportunities.* Ensures CDM updates are coordinated with clinical systems, Epic applications, billing workflows, and affected operational departments to support accurate charge generation and downstream revenue cycle processes.**GBMC Values:**Respect* Treats others with fairness, kindness, and respect for personal dignity and privacy* Listens and responds appropriately to others’ needs, feelings, and capabilitiesExcellence* Meets and/or exceeds customer expectations* Actively pursues learning and self development* Pays attention to detail; follows throughAccountability* Sets a positive, professional example for others* Takes ownership of problems and does what is needed to solve them* Appropriately plans and utilizes required resources for various job duties* Reports to work regularly and on timeTeamwork* Works cooperatively and collaboratively with others for the success of the team* Addresses and resolves conflict in a positive way* Seeks out the ideas of others to reach the best solutions* Acknowledges and celebrates the contribution of othersEthical Behavior* Demonstrates honesty, integrity and good judgment* Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResults* Embraces change and improvement in the work environment* Continuously seeks to improve the quality of products/services* Displays flexibility in dealing with new situations or obstacles* Achieves results on time by focusing on priorities and manages time efficiently**Pay Range**$89,456.67 - $161,022.00Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.**Equal Employment Opportunity**GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.*Situated in scenic Towson, GBMC represents more than just a hospital; it's a legacy of over 60 years in premier healthcare. Our beautiful suburban campus is home to a facility with over 250 beds, 23,000 admissions, and 52,000 emergency room visits each year. GBMC is currently seeking talented, compassionate employees to support patients of the communities we serve. GBMC has also been named “best place to work!”**At GBMC Health Partners, we don't just provide comprehensive medical care – we build lasting relationships. When it comes to the care of our patients, for us, it's personal. Whether you’re a physician leading proactive health strategies, a nurse practitioner providing care, or a medical assistant ensuring seamless operations, your role here is pivotal.**At Gilchrist, we transcend traditional hospice care. Every individual's journey is unique, and we pride ourselves on being there, every step of the way. For over three decades, Gilchrist has stood as a pillar of compassion and dedication as Maryland's premier nonprofit provider for serious illness and end-of-life care. We are more than just a hospice; we are a life-affirming promise ensuring every moment is lived to its fullest.**Hospice of Washington County (HWC), situated in Hagerstown, MD, is the only licensed provider for hospice care within Washington County. Our team of committed professionals understands the importance of ensuring that every individual is able to LIVE their life to the fullest. The focus is on caring for the individual, not the cure. Hospice focuses on helping a person live; making the most of each minute, hour, day, week and month they may have during the final season of life. It is about allowing self-determined life closure; individuals remain the decisions makers of how they will spend their precious days, weeks, and months. Hospice focuses on quality of life, not quantity. We provide hospice care wherever the individual designates as their home. That can be in a private residence, nursing home, or assisted living facility. Hospice care is available to patients of any age, religion, race, or illness. Hospice care is covered under Medicare, Medicaid, most private insurance plans.***What We Offer:*** Competitive salary and generous paid time off* Free parking* Monthly MTA bus pass subsidy-85% paid by GBMC "if applicable"* Company subsidized onsite fitness and wellness center "if applicable"* Pre-paid tuition to pursue professional development, additional certifications, and degree programs* Comprehensive health, dental, and vision coverage* 401 (a) and 403 (b) retirement savings plan
- J-18808-Ljbffr Boston Medical Center
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Manager Charge Description Master & Revenue Integrity in Towson, MD vacancy
- GBMC HealthCare in Towson, MD is seeking a Manager for Charge Description Master (CDM) and Revenue Integrity to lead accurate charge capture and compliant billing. You will coordinate CDM maintenance, ensure CPT/HCPCS alignment, and collaborate with Epic, Billing, IT, and...Suggested
- ...Job Description Job Description About Hyp-tro Pro Hyp-tro... ...We are seeking a qualified Master HVAC Technician / Master HVACR... ...clients, inspectors, property managers, subcontractors, and internal... ...system testing, startup, charging, balancing support, and operational...SuggestedFull timePart timeFor contractorsApprenticeshipFor subcontractor
Hyp-tro Building Services
Baltimore, MD14 days ago - ...Description Position Overview Under the general direction of the Plant Engineer the Controls Electrician is responsible for the integration, programming, and troubleshooting of Programable Logic Controllers (PLC), Process Automation Controllers (PAC), Human Machine Interfaces...SuggestedWork experience placement
Green Bay Packaging
Cockeysville, MD2 days ago $80k - $100k
...Job Description Job Description Responsibilities Artificial Intelligence... ...experience. When you join RadNet as Revenue Cycle Operations – Project Manager , you will be joining a... ...personal awareness, professionalism and integrity, and exercises confidentiality in...SuggestedTemporary workLocal areaImmediate startRadNet
Owings Mills, MD11 days ago$38.48k
...Job Description A Day in the Life: Hertz Local Edition (HLE)... ...excellence. If you're ready to take charge and grow your career in a... ...spot. We're hiring a Manager Trainee to support location... ...Do the Right Thing , showing integrity and respect in every interaction...SuggestedHourly payTraineeshipLocal areaWorldwideFlexible hoursNight shiftHertz
Parkville, MD4 days ago$45 - $88 per hour
...Job Description ~ Earn $45-$88+/hr (plus tips) - $100K+/year is within reach *Range... ...built-in walk-in traffic Licensed Master Cosmetologist / Stylist - Bring Your... ...Ever! We supply everything you need at no charge. Your pay is based on performance,...Full timePart timeLocal areaFlexible hoursHair Cuttery
Parkville, MD2 days ago- Enterprise Community Partners in Towson, MD is seeking a Part-time Assistant Property Manager for 30 hours per week, Monday to Friday, 9am-3pm. This onsite role involves coordinating resident services, collecting rents, and supporting property operations to ensure safety...Part timeMonday to Friday
$141.2k - $278.3k
Position Summary Integrated Manufacturing Ops Architect Manager Position Summary We are a team of strategic advisors, architects, and implementers... ...of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries...Local areaVisa sponsorship- Select how often (in days) to receive an alert: Manager, Total Rewards Integration (Compensation & Global Mobility) (HYBRID) HUNT VALLEY, MD, US, 21031 You may know McCormick as a leader in herbs, spices, seasonings, and condiments - and we're only getting started. At...Permanent employmentLocal areaImmediate start
$103.52k - $181.15k
...employees - all 14,000 of us across the world - are what makes this company a great place to work. We are looking to hire an Manager, Total Rewards Integration (Americas) immediately in a Hybrid (50/50) capacity at our Global Headquarters in Hunt Valley, Maryland. What We...Permanent employmentLocal areaImmediate start- ...Job Description Job Description GENERAL SUMMARY The Center Director is responsible for managing the overall customer experience, sales, and local marketing strategies of the... ...performance, Profit and Loss controls, revenues, expenses, and fee collection; Recommends...Work at officeLocal areaFlexible hoursAfternoon shift
$44.15k - $96.76k
...Ambulatory Services Manager The Department of Orthopaedic... ...accurate registration, revenue cycle management, payor... ..., and fiscal integrity. Report to the Clinical... ...that compliant facility charge capture and reconciliation... ...Bachelor's Degree required. Master's Degree in related...Full timeMonday to Friday$103.52k - $181.15k
...all 14,000 of us across the world - are what makes this company a great place to work. We are looking to hire a Senior Manager, Controller Integration immediately in a Hybrid (50/50) capacity at our Global Headquarters in Hunt Valley, Maryland. What We Bring To The...Permanent employmentWork at officeImmediate start- ...our Water US, Construction Management Division as our new Construction... ...a sustainable future. Job Description As our new Construction... ...project risks (quality and revenue recognition), invoicing, accounts... ...process. Creating and executing integration plans for new hires and...Hourly payFull timeFor subcontractor
$46.92k
...Description: Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and... ...Providing daily supervision and mentorship Managing household routines and student... ...Ability to lift to 50 lbs. Demonstrated integrity and professionalism; MHS staff serve as...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Arlington, MD3 days ago- ...Position Overview The Site Manager (SM) is responsible for... ...all systems Maintain data integrity to support compliance accurate... ...of site-level goals including revenue, profit, membership sales, and... ...emergencies arise This job description in no way states or implies...Hourly payLocal areaFlexible hoursAfternoon shift
Flagship Car Wash
Towson, MD4 days ago - ...Collaboration, Execution, Integrity, and Inclusion. We... ...CareerThe Global Account Manager is a significant driver of company revenue and growth. You’re responsible... ...is leading the charge in platformization, offering... ...units and a bonus. A description of our employee...Full timeRemote workVisa sponsorshipWork visa
$42 - $50 per hour
...Job Description Job Description Overview EV Technician/Automotive Mechanic (Electric/Autonomous Vehicle) – Baltimore, MD... ...service, repair, and maintenance on electrical, mechanical, and integrated systems of electric autonomous vehicles Diagnose nuanced mechanical...Weekly payMonday to FridayShift workAmerit Fleet Solutions
Baltimore, MD14 days ago- ...Job Description Job Description Construction Project & Administrative Coordinator MASTER CARE FLOORING Baltimore, MD (Full Time, Permanent Opportunity) Master... ...closeout. Assist with document management, transmittals, project forms, and electronic...Permanent employmentFull timeFor contractorsWork at office
Midatlantic Employers' Association
Baltimore, MD9 days ago - ...Job Description Job Description Bonus PotentialReports To Vice... ...Business Line Leaders Branch Managers Settlement Officers... ...role responsible for driving revenue growth across all branches through... ...CRM adoption and sales data integrity to enable visibility,...
Eagle Title LLC
Towson, MD3 days ago $140k - $160k
...Summary Epic Denials Manager Position Summary Join Deloitte... ..., timely reimbursement, and revenue cycle performance. As an... ...build, deploy, and operate integrated/verticalized sector solutions... .... Please see for a detailed description of the legal structure of Deloitte...Local areaRemote work- ...Job Description Job Description Overview Are you looking for... ...facilities and the provision of management services and evidence-based... ...Summary The Master Social Worker, Licensed position... ...Licensed identifies reentry and integration barriers and provides support...Worldwide
The GEO Group
Baltimore, MD11 days ago - McCormick & Company in Hunt Valley, Maryland, seeks a Manager, Total Rewards Integration (Americas) to serve as the regional expert. You will partner with internal teams and external partners to support country-level analysis, design decisions, Day 1 readiness, and post...
$102.8k - $188.4k
...ll do As an Logistics Business Process Integrator- Strategy and Transformation Senior Consultant... ...value streamsLead and support project management activities in the implementation of the... ...LLP. Please see for a detailed description of the legal structure of Deloitte LLP...Local area- ...curiosity and ignite your career at The Lighthouse. KPMG is currently seeking a Manager, Boomi Architect in for our Consulting practice. Responsibilities: Client Advisory & Integration Architecture: Lead discovery sessions to understand business needs and...H1bLocal area
$134.1k - $214.5k
...detecting diseases earlier, managing routine infections, and combatting... ...into possibilities. Job Description Job Summary The Senior Manager... ...with various departments to integrate EHS considerations into all business... ..., or a related field. Master's degree preferred. Minimum of...Work at officeLocal areaRemote workWorldwideShift workBdx Inc
Cockeysville, MD2 days ago$38.48k
...Manager TraineeHertz Local Edition (HLE) is focused on delivering flexible, local rental... ...operational excellence. If you're ready to take charge and grow your career in a fast-paced... ...we make. We Do the Right Thing, showing integrity and respect in every interaction. We...Temporary workTraineeshipLocal areaWorldwideFlexible hoursNight shiftHertz
Parkville, MD3 days ago- ...Full-time Company Description Eurofins Scientific... ...Eurofins generated total revenues of EUR € 6,515 billion... ...(TIC), as the Manager EMC and Wireless for... ...efficiency. Uphold Integrity : Enforce company policies... ...or compliance; or Master’s degree in a relevant...Full timeContract workMonday to Friday
Eurofins US Network
Baltimore, MD4 days ago $80k - $100k
...Full-time Description Responsible for the day-to-day account management for routinely/moderately complex client accounts for large group department 51... ...and Welfare plan compliance. # Maintain data integrity and quality with any applicable software on a timely...Full timeContract workWork experience placementMonday to FridayNight shiftCapital Services Corporation
Towson, MD12 hours ago$211.72k
...difference and change the world. Job Description CDM Smith (Industrial Division) is seeking... ...to fill an exciting Substation Project Manager (Substation PM) position in our... ...achieve safe, high-quality outcomes. As an integral member of our dynamic Industrial Team,...Work experience placementH1bCDM Smith
Towson, MD1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Manager Charge Description Master & Revenue Integrity. Be the first to apply!
