Manager Charge Description Master & Revenue Integrity

$89.46k - $161.02k

Boston 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 3 days ago

Similar jobs that could be interesting for youBased on the Manager Charge Description Master & Revenue Integrity in Towson, MD vacancy

Revenue Integrity & CDM Master Lead (Epic)
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
Boston Medical Center
Towson, MD
3 days ago
Revenue Operations Project Manager
$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...
Suggested
Temporary work
Local area
Immediate start
RadNet
Owings Mills, MD
more than 2 months ago
Plant Master Electrician
Description Position OverviewUnder 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...
Suggested
Work experience placement
Green Bay Packaging
Cockeysville, MD
5 days ago
Part-Time Property & Resident Services Coordinator
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...
Suggested
Part time
Monday to Friday
FHLB Des Moines
Towson, MD
4 days ago
Integrated Manufacturing Ops Architect Manager
$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...
Suggested
Local area
Visa sponsorship
Deloitte
Baltimore, MD
1 day ago
MASTER PROFILE Center Director
...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 office
Local area
Flexible hours
Afternoon shift
Sylvan Learning - Corporate
Baltimore, MD
8 days ago
Security & Law Enforcement (Master-at-Arms)
...Job Title: Security & Law Enforcement (Master-at-Arms) Category / Component: Enlisted... ...count as sea duty for rotation; close integration with other security forces, Marine units... .... Notes and Disclaimers This description is a general overview of typical duties...
Apprenticeship
Overseas
Night shift
Rotating shift
US Navy
Baltimore, MD
4 days ago
Master HVAC Tech
...Position Description About Hyp-tro Pro Hyp-tro Pro is a growing... ...We are seeking a qualified Master HVAC Technician / Master HVACR... ..., inspectors, property managers, subcontractors, and internal... ...Perform system testing, startup, charging, balancing support, and operational...
Full time
Part time
For contractors
Apprenticeship
For subcontractor
Hyp-Tro Building Services LLC
Baltimore, MD
16 hours ago
Global Account Manager - Intelligence Community
...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 time
Remote work
Visa sponsorship
Work visa
Palo Alto Networks
Baltimore, MD
5 hours ago
Construction Project Manager
...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 pay
Full time
For subcontractor
Ramboll
Cockeysville, MD
1 day ago
Master Electrician
$105k - $130k
...Master Electrician Salary Range $105,000.00 - $130,000.00 Base+Commission... .../year Level Experienced Description Title: Master Electrician... ...permit applications managed by the CDS office team. Conduct... ...&L for CDS field operations: revenue, gross margin, job costing,...
Full time
Apprenticeship
Work at office
Local area
Home office
Weekend work
Afternoon shift
CDS LOGISTICS
Baltimore, MD
5 days ago
Home Health Clinical Manager
$25k
...of our caring community As a Clinical Manager at CenterWell Home Health, reporting to... ...and/or individual performance. Description of Benefits Humana, Inc. and its affiliated... ...services business focused on creating integrated and differentiated experiences that put...
Full time
Temporary work
Apprenticeship
Work at office
CenterWell Home Health
Towson, MD
5 hours ago
Salesforce TPM Manager
$99k - $232k
...AIManagement LevelManagerJob Description & SummaryAt PwC, our people... ...member’s unique strengths, and managing performance to deliver on... ...You are expected to lead with integrity and authenticity,... ...the Pricing, Promotion, and Revenue Management team, you will play...
Full time
H1b
PwC
Baltimore, MD
4 days ago
Master Control Operator
$18.7 - $22 per hour
...solutions. Responsibilities The role of Master Control Operator is responsible for operating... ...and communicate any discrepancies to Managers. Consistently ensure that playlist information... ...Channel and multicast networks Comet, CHARGE!, TBD., and The Nest. Sinclair's content...
Hourly pay
Full time
Work experience placement
Work at office
Local area
Flexible hours
Shift work
Weekend work
Sinclair Broadcast Group
Cockeysville, MD
3 days ago
Youth Development Specialist - Relocation to Hershey, PA Required
$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 time
Work from home
Relocation
Relocation package
Flexible hours
Weekday work
Milton Hershey School
Towson, MD
2 days ago
Architect / Architecture Manager
...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...
H1b
Local area
KPMG
Baltimore, MD
2 days ago
Senior Manager, Controller Integration
$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 Table...
Permanent employment
Work at office
Immediate start
McCormick & company
Hunt Valley, MD
4 days ago
Director, Global Marketing Implementation & Integration
$132k - $225k
...people thrive in an evolving world. As a premier global asset management organization with more than 85 years of experience, we... ...matter to you. Role SummaryThe Global Marketing Implementation & Integration Lead serves as the primary liaison between Global Marketing and...
Full time
Local area
Remote work
Work from home
1 day per week
T. Rowe Price
Baltimore, MD
5 hours ago
Manager in Training (MIT)
$17.48 - $21.84 per hour
• • • • • • Manager in Training (MIT) SNIPES Manager in Training (... ...in 1998, SNIPES has been an integral part of street culture and is... ...unit per transaction (UPTs), charge accounts and loss prevention... ...Retirement Contributions Note: Job descriptions are used for informational...
Hourly pay
Full time
Worldwide
Flexible hours
Shift work
Snipes USA
Baltimore, MD
a month ago
Member Experience Manager
...Job Description Job Description About The Center Club Established... ...Experience & Programming Manager is responsible for designing... ..., satisfaction, and revenue for the Club. In a city club... ...revenue goals New Member Integration Design and implement onboarding...
Flexible hours
Afternoon shift
The Center Club
Baltimore, MD
more than 2 months ago
EHS Manager
...excitement of being on a team that wins. Job Description Teledyne Energy Systems, Inc. is a... ...The Environmental Health & Safety (EHS) Manager is responsible for developing, implementing... ...orders. Our reputation for honesty, integrity and high ethics is as important to us as...
Minimum wage
Work experience placement
Local area
Flexible hours
FLIR Systems
Cockeysville, MD
3 days ago
Manager, Total Rewards Integration (Compensation & Global Mobility) (HYBRID)
$103.52k - $181.15k
...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 (Compensation & Global Mobility) immediately in a Hybrid (50/50) capacity at our Global Headquarters in Hunt Valley,...
Permanent employment
Local area
Immediate start
McCormick & Company
Hunt Valley, MD
2 days ago
EMC and Wireless Manager
...Job Description Job Description Company Description... ...Eurofins generated total revenues of EUR € 6,515 billion... ...(TIC), as the Manager EMC and Wireless for our... ...efficiency. Uphold Integrity : Enforce company policies... ...or compliance; or Master’s degree in a relevant...
Full time
Contract work
Monday to Friday
Eurofins USA Consumer Product Testing
Baltimore, MD
a month ago
Full-Time Master Electrician
...MASTE002868 Position Overview Under the general direction of the Plant Engineer, the Controls Electrician is responsible for the integration, programming, and troubleshooting of PLC, PAC, HMI, Servo Systems, Robotics, and Industrial Networks to support productivity and...
Full time
Work experience placement
Green Bay Packaging Inc.
Cockeysville, MD
19 hours ago
Plant Master Electrician
Position Overview Under the general direction of the Plant Engineer the Controls Electrician is responsible for the integration, programming, and troubleshooting of Programmable Logic Controllers (PLC), Process Automation Controllers (PAC), Human Machine Interfaces (HMI...
Work experience placement
Green Bay Packaging
Cockeysville, MD
1 day ago
Property Manager (Multi-Building/Mixed Use Asset) - Hampton Plaza
...Job Description Job Description Description: The Bernstein Companies... ...a privately held, vertically integrated real estate investment, development, and management firm headquartered in the Washington... ...and maximize occupancy and revenue. Conduct ongoing market analysis...
Work at office
Local area
The Bernstein Companies
Towson, MD
29 days ago
Sr. Offer Manager - Integrated Solutions Manager
$122k - $209k
...people thrive in an evolving world. As a premier global asset management organization with more than 85 years of experience, we provide... ...unit. Specifically responsible for the management of the firm's Integrated Retirement Plan Solutions Offer with key Advisor/Consultant...
Full time
Local area
Remote work
1 day per week
T. Rowe Price
Owings Mills, MD
5 hours ago
HVAC Manager
...Job Description Job Description HVAC Residential Field Project Manager w/ $5,000 signing bonus Position Overview: Elmar Heating & Cooling is seeking an experienced and motivated Senior HVAC Service Technician / Field Installation Project Manager to join our...
Work at office
Relocation package
Elmar Heating & Cooling
Lutherville Timonium, MD
24 days ago
TPG - General Manager, MPSSAA
...Job Description Job Description Description: Teall Properties Group... ...looking for an experienced revenue-generating and innovative individual to oversee and manage the Maryland Public Secondary... ...and objectives, and craft an integrated marketing solution(s) to meet...
Contract work
Temporary work
Local area
Flexible hours
Weekend work
Teall Properties Group
Baltimore, MD
a month ago
Project Manager - Interfaces and Integration (FACETS Claims Systems)
...Role: Project Manager – Interfaces & Integration (FACETS Claims Systems) Work model: Hybrid (onsite + remote) Location: DMV area — Baltimore, MD / Washington, DC (EST) Type: Contract-to-hire | Hours: 40/week Openings: 5 Overview We’re building a strong...
Contract work
Temporary work
Local area
Remote work
System One
Baltimore, MD
28 days 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!