Healthcare Specialist—Revenue Cycle Integrity Specialist

ECG Management Consultants•San Diego, CA

2d•Hybrid

About The Position

ECG, a leading healthcare consulting firm with over 50 years of experience, is seeking individuals to join their team and contribute to solving healthcare challenges and improving patient outcomes. ECG specializes in providing strategic, financial, operational, and technology-enabled consulting services to a wide range of healthcare organizations. They focus on creating practical, tailored solutions that help clients achieve sustainable results in an environment that values collaboration, integrity, and innovation. The Revenue Cycle Service Area is experiencing increased demand due to pressure on provider margins, complex reimbursement models, and patient cost shifting. As a Healthcare Specialist, you will be a key member of the consulting team, working with top professionals to develop solutions that shape healthcare. Your role will involve identifying operational issues, assessing solutions, and assisting with project implementation. This position offers the opportunity to make a real difference in people's lives and to grow personally and professionally in a dynamic environment where no two days are alike.

Requirements

Strong knowledge of and passion for the healthcare industry
Bachelor’s degree in business or a health-related field
5+ years of charge capture and revenue cycle operations experience
Experience designing baseline and post-implementation impact models
Demonstrated record of solving complex charge capture projects
Track record of managing multiple engagements, including work plans, deliverables, budgets and schedules, and accounts receivable
Strong written and verbal presentation skills
Ability to travel at least 50% of the time

Responsibilities

Support revenue cycle consulting projects by collaborating with consultants and ECG clients.
Lead information-gathering efforts.
Analyze charge capture transactions, revenue, usage data, charge lag/charge trends, charge capture denials, and root cause identification.
Implement charge reconciliation processes, unit-based audit models, and daily and weekly compliance tracking.
Perform daily auditing, including revenue and data reconciliation.
Translate revenue concepts into clinical language/next steps.
Deliver and develop targeted education and training for client clinical end users.
Work closely with multiple project teams and ECG senior consulting leaders.
Work on multiple engagements.
Take responsibility for project outcomes.
Keep ECG project managers and project officers consistently updated on the progress of project work, team dynamics, development needs, and client issues, and seek input and support when needed.
Communicate and effectively engage with executive-level client staff (i.e., physicians, nursing leadership, and clinical administrators).
Learn about ECG’s breadth of solutions and identify those that reflect personal and professional interests.
Act as an ECG ambassador within personal, professional, and alumni networks.