Revenue Cycle Consultant

Key Responsibilities include:

• Develop and maintain operational and financial reports related to revenue cycle performance, including billing activity, claims submission, reimbursements, denials, and collections.
• Analyze revenue cycle data to identify trends, operational inefficiencies and propose opportunities to improve billing accuracy, reimbursement, and financial performance.
• Support revenue cycle reporting and financial reconciliation activities during EHR system implementation, including participation in revenue cycle-related system build, configuration, and validation, and post-implementation optimization.
• Collaborate with clinical informatics, revenue cycle leadership, finance staff, and information technology personnel to define reporting requirements, and revenue cycle-related system build needs, and develop dashboards or reporting tools to support operational decision-making.
• Support system testing, upgrades, and implementation activities related to revenue cycle systems and reporting tools, including participation in integrated testing, workflow validation, and issue resolution for revenue cycle-related EHR functionality.
• Participate in the build, configuration, and maintenance of revenue cycle-related EHR components (e.g., billing workflows, charge capture support, revenue cycle reporting objects), under Clinical Informatics governance and change management processes
• Document reporting processes, data definitions, and maintain compliance with state and federal reporting requirements.

Qualifications

Experience Requirements

• Associate or bachelor’s degree in healthcare administration, business administration, finance, information systems, or a related field OR an equivalent combination of education and relevant experience.
• A minimum of three years of supporting healthcare revenue cycle operations, financial systems, or healthcare reporting,
• Experience working with hospital revenue cycle systems or EHR platforms.
• Experience developing reports using healthcare reporting tools or business intelligence platforms.
• Knowledge of revenue cycle processes including billing, claims processing, reimbursement, and collections.
• Knowledge of payer reimbursement methodologies, denial management, and revenue cycle performance metrics.
• Ability to analyze operational data and communicate findings to both technical and non-technical stakeholders.