CDM Supervisor

Location
Silver Spring, Maryland-Silver Spring
Posted
Oct 13, 2021
Closes
Nov 17, 2021
Ref
2100033G
Function
Nurse
Industry
Healthcare
Hours
Full Time
The CDM Supervisor will report to the Sr Manager CDM & Charge Services and demonstrate expertise in charge workflows, billing compliance and charge analysis in the pediatric medical setting. The Supervisor will review, analyze, and educate clinical departments and stakeholders on charge workflows and pricing model/logic for either technical and/or professional services to support compliant billing practices. Will support Senior Manager with pricing tools, charge workflow changes and support the testing of charge capture workflows for new locations and service lines. Will act as a resource/contact for internal revenue cycle partners. The CDM Supervisor will deliver solutions to system/charging issues brought by Senior Analyst. The supervisor will ensure accurate revenue mapping for GL logic while working with Finance to ensure revenue routing is correct. The CDM Supervisor function will ensure compliance with established charging guidelines, third party reimbursement policies, CMS regulations and accreditation guidelines.

Qualifications

Minimum Education
Associate's Degree Healthcare related field (Required)
Bachelor's Degree Healthcare related field or equivalent work experience (Preferred)

Minimum Work Experience
4 years Experience in charge capture, coding or charge description master in a hospital environment for hospital and professional services. (Required)
1 year Supervisory experience (Required)

Required Skills/Knowledge
Demonstrates excellent organizational and problem solving skills.
Ability to delegate assignments and follow through on details is essential.
Excellent internal and external customer service skills required.
Ability to supervise, counsel, train, and develop staff using advanced technical skills.
Must possess ability to be effective and efficient in a fast paced environment, managing multiple competing tasks and priorities.

Required Licenses and Certifications
COC/CPC Coding Certification (Required)

Functional Accountabilities
Department Strategic Planning

  • Validate and approve access to all charge workflows and charge corrections.


  • Provide education and in-service training to departments in collaboration with Sr Manager
  • Provide assistance and analysis to all levels of clinical management in support of suggested, requested and/or mandated changes to the CDM.
  • Process complex CDM requests to ensure that all additions, changes and deletions are consistent with proper charging, billing, coding and pricing practices in a timely manner.
  • Conduct annual review of the charge master and quarterly updates as appropriate to enhance revenue for the hospital departments, including review of supplies, lab charges and pharmacy charges.
  • Analyze data within the CDM and assign accurate CPT/HCPCS and revenue codes to the Charge Master to insure compliance with regulatory guidance, per Billing and Coding industry norms.
  • Distribute coding and billing regulatory requirements and/or announcements to all applicable departments.
  • Responsible to make CDM related decisions that require significant analysis and investigation.
  • Assist with developing and maintaining policies and procedures for the CDM, Pricing Policies and charge capture processes.

Program and Service Administration and Implementation

  • Perform all maintenance to the Charge Description and Service Master and the Room and Bed Master Files


  • Create and maintain all hospital transaction codes and revenue department codes.
  • Monitor and report all revenue department's charge volumes and posting lag days.
  • Research and resolve all charge and service master related code errors that affect the recycle and reject reports.
  • Assist in performing comprehensive reviews with clinical departments to ensure completeness and accuracy of charge description master.
  • Take initiative to identify system and/or operational problems and participate in the development of solutions to improve billing functions.

Human Resources and Relationship Management

  • Serve as expert resource for code and processing questions, train and educate coders.


  • Maintain relationships with, and serve as liaison to department administration, physicians, clinic administration, information services, billing offices, financial offices and other departments.
  • Participate in team meetings/activities and support the philosophy and goals of the team and department.
  • In collaboration with the Sr Manager, performs necessary disciplinary actions in a timely manner
  • Conducts performance evaluations and manages staff performance goals.
  • Provide individual action plans as directed by Sr Manager
  • Adhere to internal controls and reporting structure.
  • Remain current with updated coding and billing regulations through yearly continuing education; read all announcements and relevant communications that relate to job duties.
  • Lead special projects/assignments as directed by the Sr Manager


Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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