CCBHC Revenue Cycle Assessment Consultant

Quoris, LLC•New Castle, NH

1d•Hybrid

About The Position

We are seeking a CCBHC Revenue Cycle Assessment Consultant to conduct hands-on revenue cycle assessments across 10 Certified Community Behavioral Health Clinics in New Hampshire. This role will evaluate how each clinic captures, bills, and collects revenue under CCBHC payment models, identify gaps and opportunities, and deliver clear, prioritized recommendations at both the clinic and cross-clinic level. The CCBHC Revenue Cycle Assessment Consultant will serve as the primary analyst responsible for executing a comprehensive revenue cycle assessment across 10 CCBHC clinics. This individual will develop the assessment toolkit, collect and analyze claims and remittance data, conduct interviews with finance, billing, clinical, and leadership staff, and produce individual and comparative findings reports with prioritized action plans. The ideal candidate brings 5+ years of revenue cycle experience with hands-on CCBHC PPS billing expertise, strong data analysis skills, and the ability to manage a multi-site engagement independently. A second phase supporting EHR implementation is anticipated for high-performing candidates.

Requirements

5+ years of revenue cycle experience including 2+ years in behavioral health.
Hands-on experience with CCBHC Prospective Payment System (PPS) billing and reconciliation; New Hampshire state-specific methodology strongly preferred.
Experience conducting revenue cycle assessments, audits, or operational reviews.
Strong working knowledge of Medicaid FFS and managed care billing, behavioral health coding (CPT/HCPCS, ICD-10-CM), and 42 CFR Part 2.
Advanced Excel and data analysis skills with comfort working across claims and remittance data from multiple systems.
Excellent interviewing, writing, and presentation skills with the ability to deliver candid findings constructively.
Ability to manage multiple sites and deadlines with minimal supervision.
Ability to travel 2–3 weeks per month during the assessment phase.
Must be eligible to work in the U.S. without company sponsorship.

Nice To Haves

Experience with CCBHC cost reporting and quality bonus payment programs.
Familiarity with Netsmart or other common behavioral health EHR and billing platforms.
Experience with BI tools or SQL.
CPC, CRCR, or CHFP certification.
Consulting or multi-site assessment experience.

Responsibilities

Develop or adapt the assessment toolkit including data request lists, interview guides, scoring framework, and report templates.
Collect and analyze claims, remittance, A/R, denial, and reconciliation data from each of the 10 clinics.
Conduct virtual and onsite interviews and workflow reviews with finance, billing, clinical, and leadership staff.
Test samples of claims and encounters for coding accuracy, documentation support, and correct PPS treatment.
Quantify revenue opportunities including underpayments, unbilled services, and recoverable reconciliation amounts.
Prepare individual findings reports and prioritized action plans for each clinic.
Produce a cross-clinic comparison highlighting benchmarks, common issues, and best practices.
Present findings to clinic leadership and project stakeholders.
Maintain a clear project plan, status updates, and early escalation of risks or data delays.