Reimbursement and CDM Manager, Day Shift, Reimbursement
Company websiteadventisthealthcare.com (Adventist HealthCare, opens in new tab)
Base salary $105,664 to $158,496
Employer-published annual base salary, USD. Advertised base range in Gaithersburg, MD
You apply on the employer's own site. Six Figure Work does not handle applications.
- LocationGaithersburg, MD
- WorkplaceWorkplace not stated
- Status at last checkSource accepting applications when checked
- Last checked (1 h ago) · observed since
About this job
If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.
Adventist HealthCare seeks to hire an experienced Reimbursement and CDM Manager for our Reimbursement Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.
As a Reimbursement and CDM Manager, you will:
• Monitor GBR performance, unit rate compliance, and reimbursement trends for all AHC entities subject to HSCRC and CMMI/AHEAD requirements; recommend and implement pricing adjustments consistent with regulatory requirements and AHC strategy.
• Prepare comprehensive monthly reimbursement and revenue packets, including earned revenue recognition, rate control reconciliation, volume analysis, budget variance analysis, performance dashboards, and the monthly journal entry for Accounting.
• Provide enterprise oversight of the Charge Description Master (CDM), including review, approval, implementation, and maintenance of charge codes, pricing, revenue codes, CPT/HCPCS codes, modifiers, units, descriptions, and other billing components. Partner with Revenue Integrity, Revenue Cycle, Clinical Departments, Compliance, Reimbursement, and Information Technology to support accurate charge capture, compliant charging practices, and alignment with reimbursement strategy. Participate in multidisciplinary CDM governance, routine CDM and charge-capture audits, annual coding updates, and corrective action activities. Monitor regulatory changes affecting charging and reimbursement, and participate in Epic implementation, conversion, testing, upgrades, and optimization related to charging workflows, pricing, and CDM functionality.
• Schedule and download monthly volume and revenue reports for HSCRC reporting; collaborate with Data Engineering and Information Technology to improve report accuracy, controls, and automation.
• Prepare quarterly HSCRC reporting, including case mix reconciliation, denials, Uncompensated Care (UCC), and other required regulatory submissions.
• Perform detailed reviews and budget reconciliations of HSCRC rate orders; identify discrepancies and collaborate with internal and external stakeholders to validate rate orders and resolve issues.
• Prepare workpapers supporting the HSCRC Annual Filing, Medicare Cost Report, HSCRC Special Audit, and other reimbursement filings for all entities; coordinate with external auditors and regulatory agencies as needed for issue resolution.
• Prepare in collaboration with Managed Care and other stakeholders, the annual CMS Hospital Price Transparency files for all AHC entities and support ongoing compliance with applicable disclosure requirements.
Qualifications include:
• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field required.
• Five (5) or more years of progressively responsible experience in healthcare reimbursement, hospital finance, revenue cycle, revenue integrity, or Charge Description Master management. Maryland HSCRC reimbursement and regulatory reporting experience strongly preferred.
• Prior leadership, project leadership, or experience coordinating multidisciplinary teams preferred; direct supervision of Revenue Integrity is not required.
• Knowledge and experience with HSCRC reimbursement methodologies, Global Budget Revenue, Maryland rate setting, and regulatory reporting.
• Knowledge of Medicare reimbursement, hospital charging practices, CDM maintenance, pricing, CPT/HCPCS codes, revenue codes, and charge governance.
• Demonstrated ability to partner with Revenue Integrity and operational teams on charge-capture accuracy, compliance, and process improvement.
• Epic Resolute Hospital Billing and Epic CDM experience preferred.
• Experience supporting an Epic implementation, conversion, testing, upgrade, or optimization project.
• Experience with CMS Hospital Price Transparency, Medicare Cost Reports, Power BI, and the CMMI AHEAD Model.
Work Schedule:
Employment Type: Full-time
Hours per Week: 40 hours/week
Typical Daily Schedule: 8 am-5 pm Monday through Friday
Shift Type: Day Shift-Hybrid Schedule
Holiday Requirements: Follow the company holiday calendar
Pay Range:
$105,664.42 - $158,496.00If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.
Under the Fair Labor Standards Act (FLSA), this position is classified as:
United States of America (Exempt)At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered!
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
Source: Adventist HealthCare on Workday · View original posting (opens in new tab)
Pay in context
This role's base floor ($105,664) is above 10% of the 3,393 Finance & Accounting roles nationwide listed on this site. Their median floor is $138,000; the middle half runs from $115,000 to $170,200.
Only jobs on this site count, and each one publishes a base salary of $100,000 or more, so this compares six-figure jobs with each other, not with the whole market. Computed Nov 8, 2026.
This listingReimbursement and CDM Manager, Day Shift, Reimbursement$105,664 to $158,496
Heart Failure Nurse Practitioner(Readmission Prevention), Day Shift, Cardiac Cath Lab$105,664 to $158,496
Director of Lab Services, Capital Choice Pathology Lab$105,664 to $158,496
Manager Operational Excellence, Day Shift, Operational Excellence$105,664 to $158,496
Nurse Manager, Day Shift, Emergency Department$104K to $150K
Nurse Manager (RN), Day Shift, Pediatric Emergency Department$104K to $150K
Nurse Manager, PACU & Pre-Operative Services$104K to $150K
Chart as a table
| Role | Published base |
|---|---|
| Reimbursement and CDM Manager, Day Shift, Reimbursement (this listing) | $105,664 - $158,496 |
| Heart Failure Nurse Practitioner(Readmission Prevention), Day Shift, Cardiac Cath Lab | $105,664 - $158,496 |
| Director of Lab Services, Capital Choice Pathology Lab | $105,664 - $158,496 |
| Manager Operational Excellence, Day Shift, Operational Excellence | $105,664 - $158,496 |
| Nurse Manager, Day Shift, Emergency Department | $104K - $150K |
| Nurse Manager (RN), Day Shift, Pediatric Emergency Department | $104K - $150K |
| Nurse Manager, PACU & Pre-Operative Services | $104K - $150K |
Observed changes
- First observed on the employer's board
- Began meeting the published-salary criteria
- Observed since
- Employer-stated posting date
- 2026-09-29
Where this pay comes from
Location as the employer wrote it: Gaithersburg, MD
$105,664.42 - $158,496.00
- Method
- Employer text, read with fixed rules and re-verified
- Checked
- Rule set
- us-base-v2
The pay passage appears in the employer's own job text. Fixed, deterministic rules located it, and the passage below was checked against the stored copy of the posting.
What we verified
- The pay figures come from the employer's own listing, quoted exactly above.
- The pay is an annual base salary in US dollars with a minimum of at least $100,000.
- The role was publicly listed on the employer's job board when last checked.
We do not verify what the employer will actually offer, whether the employer is still recruiting for the role, or anything beyond what the employer published. Full methodology.