Revenue Cycle Consultant

Pinnacle Healthcare Consulting LLC

7d•Remote

About The Position

Optimize provider financial flow from patient registration to final payment by analyzing and improving coding, billing, claims collections, and workflows to boost revenue and efficiency. A revenue cycle consultant often involves staff training, system implementation, and compliance. The role requires strong analytical skills, and healthcare finance knowledge.

Requirements

Bachelor’s degree or commensurate experience in finance, healthcare administration, or related field will be considered.
Knowledge of healthcare revenue cycle management, billing, coding, or finance operations experience in addition to an AAPC credential (CIC® or COC®) or AHIMA credential (CCS, RHIT or RHIA) is required.
Minimum five (5) years of revenue cycle management, health care consulting and / or industry experience is required with professional fee claims.
Patient Access
Coding and billing (ICD-10-CM, CPT®, HCPCS
Denials Management
Collections
Accounts Receivable
Contract Management
Above average knowledge and understanding of Healthcare Compliance, HIPAA and HITECH requirements.
Knowledge of healthcare technology solutions, such as Electronic Medical Record or Patient Financial Services systems.
Knowledge of healthcare regulatory requirements.
Ability to write business reports or other professional deliverables.
Excellent customer service skills, both in-person and telephonically.
Strong written communication including report presentation.
Competently use Microsoft Office®, including Word, PowerPoint, and Excel.
Successfully participate in multiple and rapidly changing projects effectively.
Handle confidential information with discretion and adapt to competing demands.
Think strategically, solve problems and propose solutions.
Work under tight deadlines and manage multiple priorities.
Achieve high-performance goals and meet deadlines in a fast-paced environment
Job performance evaluations will require compliance with these regulations and PERCS Compliance Program.
Standard office equipment including computers, fax machines, copiers, printers, telephones, postal machines, etc. Expert level MS Word, Excel, Power Point, Adobe publishing.
Must possess the physical and mental abilities to perform the tasks normally associated with a professional office environment such as sitting for 90 percent of the day; manual dexterity to operate office machines including computer and calculator; stooping, bending to handle files and supplies; and mobility to complete errands or deliveries, lifting up to 20 lbs. Stress can be triggered by multiple staff demands and deadlines.

Nice To Haves

Additional certifications from AAPC or AHIMA, such as CPMA®, CDEI®, CDEO®, CCDS and other relevant Certified Revenue Cycle Specialist (CRCS®) from AAHAM is a bonus.
Experience with Cerner PowerChart, EPIC, Meditech and other EMR systems is preferred.

Responsibilities

Conduct in-depth reviews of current workflows (registration, coding, billing, collections, and denials).
Develop action plans and strategies to correct identified issues, improve processes, and leverage technology.
Lead or support the implementation of new systems, processes, or training programs.
Track key metrics and report on progress.
Educate staff on best practices, new policies, and compliance.
Ensure adherence to healthcare regulations and payer rules.
Provide collaborative client-facing support when necessary to lead work efforts to meet the project plan requirements and deliverable(s) timeline(s).
Collaborate with team resources to participate in drafting reports.
Participate in presenting review results to client contacts as qualified.
Perform engagement procedures designed to identify and define issues, review and analyze evidence, and document business processes.
Prepare working papers to support results of procedures requiring minimal edits from project management lead.
Identify, develop and document issues and recommendations using independent judgment concerning areas reviewed within their defined area(s) of expertise and industry skills.
Assist in coordinating and communicating the results of consulting and internal audit projects via written reports and oral presentations to clients.
Provide input to the project team and status of project to leadership during all project phases.
Ensures PERCS’ high expectations for quality in all assigned projects and deliverables under their control.
Related projects / work as assigned.
Relays business development opportunities from client communications or when receiving inquiries from internal or external sources to expand project scope or for new work when identified to PERCS’ leadership.
Participate with exhibiting and business marketing initiatives alongside leadership team during attended conferences or sales calls to provide technical expertise/ information as qualified and when needed.