CDM Lead: Revenue Integrity & Epic Expert

gbmc

Towson (MD)

On-site

USD 89,000 - 161,000

Full time

4 days ago
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Job summary

GBMC HealthCare in Towson, MD is seeking a CDM/Revenue Integrity leader to oversee charge capture, billing accuracy, and reimbursement performance. You will direct CDM maintenance, monitor pre-bill edits, and drive improvements across Epic workflows.

The role requires 4+ years in clinical or 3–5 years in CDM leadership, with strong knowledge of payer guidelines and proficiency in Epic applications, Excel, and data analytics. This is a full-time, on-site position based in Maryland.

Qualifications

  • Four years clinical experience or 3–5 years in CDM revenue cycle required.
  • Hospital billing and finance background strongly preferred.
  • Knowledge of Medicare, Medicaid and third-party payer guidelines.
  • Epic certification in CDM or related areas preferred or within 12 months.

Responsibilities

  • Directs revenue integrity functions to ensure accurate charge capture and timely billing.
  • Monitor charge reconciliation, pre-bill edits, and denial prevention efforts.
  • Develop tools and reports to identify lost revenue and process improvements.
  • Lead CDM maintenance and ensure alignment with CPT/HCPCS and payer rules.
  • Collaborate with IT, clinical departments, and leadership to optimize reimbursement.

Skills

Epic CDM Management
Epic Hospital Resolute Billing
Epic PB Router
Epic Revenue Cycle Applications
Medicare/Medicaid Guidelines
Microsoft Excel
Reporting/Dashboard Tools

Education

Bachelor’s degree in business administration, Finance or Healthcare Administration
Master’s degree preferred (including RN, NP, PA)

Tools

Tableau
Power BI
SQL-based reporting
Crystal Reports
SSRS
Epic Reporting Workbench
SlicerDicer

Job description

GBMC HealthCare in Towson, MD is seeking a CDM/Revenue Integrity leader to oversee charge capture, billing accuracy, and reimbursement performance. You will direct CDM maintenance, monitor pre-bill edits, and drive improvements across Epic workflows.

The role requires 4+ years in clinical or 3–5 years in CDM leadership, with strong knowledge of payer guidelines and proficiency in Epic applications, Excel, and data analytics. This is a full-time, on-site position based in Maryland.

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