Nemours Children's Health · 17 hours ago
CDM Specialist Sr
Orlando, FL
Full-time
Onsite
Senior Level
5+ years expNemours Children's Health is an internationally recognized children's health system, and they are seeking a Sr. CDM Specialist. This role is responsible for maintaining the Charge Description Master (CDM) and ensuring compliance with billing and coding processes within the hospital's revenue departments.
AssociationHealth Care
Responsibilities
Responsible for the coordination of ongoing CDM consistency within revenue producing departments. Includes maintaining accurate descriptions, coding, in-activations, and revenue code assignments
Demonstrate and incorporate a working knowledge of the hospital's billing and coding software applications as related to coding and billing of encounters
Maintains an extensive working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist in cash collection while accurately complying with billing/coding guidelines
Reviews denials from CBO relating to payor rejections and incomplete reimbursement resulting from CDM issues, coding, and billing issues
Assists Recovery Audit staff with all CDM related hospital charge capture inquiries
Conducts research related to CDM and hospital billing issues using various types of information media: internet, payor intranet, payor newsletters and/or manuals
Works closely with EPIC IS application support relating to all CDM hospital billing functions: ADT (Admission Discharge Transfer), Ambulatory, Charge Router, Willow, and Radiant
Ability to read and comprehend the medical record to identify all diagnoses, procedures and services for the patient encounter for outpatient and emergency room services
Assists Coding Manager with coding duties
Qualification
Required
5 years hospital billing and coding- 3-5 years of charge master experience
Epic Certification within 1 year of hire
Required COC or CPC
Preferred
HFMA CRCR
AAHAM
CRCS-I
CHFP
CRCS-P
Company
Nemours Children's Health
Nemours Children's Health is committed to improving the health of children.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$10.5MKey Investors
National Institutes of Health
2021-09-21Grant· $10.5M
Leadership Team
Mark Mumford
EVP, Chief Operating Officer, Nemours Children's Health
Kevin Haynes
Chief Privacy Officer
Recent News
2025-12-02
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