Revenue Cycle Consultant, Procedural

Kodiak Solutions
•Hybrid

About The Position

At Kodiak Solutions, our team is made up of dedicated professionals who bring a wealth of expertise from across the healthcare finance, clinical, operations and revenue cycle management sectors. We foster a collaborative and innovative environment where each team member’s contributions drive real-world solutions for our clients. Our consultants work closely with healthcare organizations to tackle complex challenges, using cutting-edge tools and strategies to optimize operational efficiency. With a focus on continuous improvement and professional growth, our team is passionate about delivering exceptional results that make a difference in the healthcare industry. In this role, you will oversee the day-to-day tasks related to clinical revenue management and charge capture projects, applying both your technical expertise and interpersonal skills to support our clients. By leveraging advanced technology tools, you will deliver high-quality analysis and process improvement strategies to enhance the efficiency and effectiveness of our clients' revenue cycles. You’ll also collaborate with various levels of client leadership, making a tangible impact on their operations. Focus will be within Perioperative Services, Invasive Cardiology (e.g., Cath and Electrophysiology Labs) and Interventional Radiology. Account reviews comparing clinical documentation to billing outcomes will be a critical element of your day-to-day activities. Applying clinical knowledge experiences to help improve and streamline charge capture processes elevating our clients to best-practice standards will be critical. Knowledge of specialty supplies (e.g., catheters) and implants (e.g., stents, mesh, surgical hardware) would be a bonus.

Requirements

  • A Bachelor’s degree in Business or a health-related field is required.
  • 3-5 years of deep healthcare experience is required, with a focus on clinical areas such as radiology, cardiology, perioperative services, or nursing being a strong advantage.
  • Previous experience in a professional services or consulting role is essential, demonstrating a proven track record in delivering client-focused solutions.
  • Expertise in hospital revenue cycle management, with a specific focus on charge capture processes, is required.
  • Technical knowledge in this area of expertise as well as the appropriate licensure or certification (e.g. clinical credentials such as BSN, certifications such as CCS, CPC, RHIA or project management certification).
  • Must currently hold a CIRCC or CNOR credential or plan on acquiring one within 1 year of employment.
  • Demonstrated leadership skills with the ability to manage multiple projects, guide cross-functional teams, and interact with all levels of client and internal staff.
  • Exceptional financial and analytical skills are required, with a strong aptitude for using data to drive decision-making and process improvement.
  • Proficiency in excel is required.
  • Outstanding written and verbal communication skills, with the ability to clearly present findings and recommendations to both technical and non-technical audiences.

Nice To Haves

  • An MBA, MHA, and/or MPH is highly desirable.
  • Knowledge of specialty supplies (e.g., catheters) and implants (e.g., stents, mesh, surgical hardware).
  • Prior experience in sales or business development is a plus.
  • Charge Capture and Coding Experience
  • Clinical experience working within Perioperative Services, Invasive Cardiology or Interventional Radiology services lines.

Responsibilities

  • Oversee the day-to-day tasks related to clinical revenue management and charge capture projects.
  • Apply technical expertise and interpersonal skills to support clients.
  • Leverage advanced technology tools to deliver high-quality analysis and process improvement strategies.
  • Enhance the efficiency and effectiveness of clients' revenue cycles.
  • Collaborate with various levels of client leadership.
  • Conduct account reviews comparing clinical documentation to billing outcomes.
  • Apply clinical knowledge to improve and streamline charge capture processes.
  • Elevate clients to best-practice standards.
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