RCM CONSULTANT.

Johns Hopkins Aramco Healthcare; Dhahran Compound; On-site; SAR 240,000 - 360,000; Full time

Job summary

Johns Hopkins Aramco Healthcare seeks a Revenue Cycle Management Consultant to optimize charge capture, oversee integration of EMR/HIS/LIS and billing systems, and drive automation to improve accuracy and compliance. The role focuses on strategy and operational excellence in revenue cycle management, with emphasis on reducing denials and enhancing overall performance.

Candidates should have a Master’s or relevant Bachelor with certification and substantial experience in revenue cycle management

Qualifications

• Bachelor's or Master’s degree preferred in a relevant field.
• Experience in revenue cycle management or related consulting.
• Strong analytical skills and ability to drive process improvements and data-driven decisions.

Responsibilities

• Develop and implement strategies to optimize charge capture and align with best practices.
• Oversee integration and enhancement of EMR, HIS, LIS and billing systems for charge reconciliation.
• Lead initiatives to innovate charge capture tools to enhance automation and accuracy.
• Manage CDM maintenance including charge additions/deletions and denial resolutions.
• Identify inefficiencies and regulators compliance gaps; drive remediation in billing and reimbursement.

Skills

Accounts Receivable

Billing Investigations

Education

Master’s degree or relevant Bachelor with specialization

CRCR or CPC preferred

Job description

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The Revenue Cycle Management Consultant is responsible for critical activities in the revenue cycle management process .- which includes but is not limited to: revenue cycle operational and strategic planning, optimizing revenue performance and financial compliance, managing projects and system implementations, and providing both technical and operational support to enhance revenue cycle efficiency and accuracy while ensuring regulatory compliance

Strategic Roles & Responsibilities %

40

Strategic Roles & Responsibilities

• Develop and implement strategies to optimize charge capture processes ensuring alignment with best practices and maximizing revenue capture
• Oversee any relevant integration and enhancement of EMR HIS LIS and billing systems to Ensure seamless and efficient charge reconciliation
• Lead initiatives to innovate and refine charge capture tools such as Flowsheets and Smart Forms to enhance automation and accuracy
• Formulate and execute strategies for the ongoing development and management of the Charge Description Master including the strategic addition or deletion of charges
• Design and implement strategic approaches to address and prevent claims denials focusing on root cause analysis and longterm resolution
• Drive continuous process improvement initiatives for charge setup and management to enhance operational efficiency and effectiveness
• Utilize data analytics and insights to inform strategic decisions related to charge capture billing processes and revenue cycle management driving overall operational excellence

Operational Roles & Responsibilities %

60

Operational Roles & Responsibilities

• Evaluate current revenue cycle processes to identify inefficiencies bottlenecks and compliance issues and analyze data for performance and effectiveness
• Create and present actionable recommendations to improve billing coding collections and patient account management
• Oversees implementing process improvements system upgrades and staff training to Ensure effective integration of changes
• Ensure adherence to regulations and industry standards identifying and mitigating risks in billing coding and reimbursement
• Engage regularly with healthcare administrators finance teams and IT departments to understand needs and provide tailored solutions including workshops and training
• Set and track key performance indicators KPIs to measure the success of changes and provide ongoing support to achieve desired results
• Oversee charge Description Master CDM maintenance charge capture processes and clinical code management including handling charge automation and denial resolutions
• Guide and train clinical teams align work with organizational goals and promote professional growth while performing additional duties as assigned

Education

A Master’s degree or relevant Bachelor with specialized certification

Certifications

(Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC)) is often preferred.

Years of Experience

Minimum 16 years' experience in revenue cycle management or related field, including significant experience in consulting.

Languages

English:Fully Proficient ; Arabic:Basic

• Accounts Receivable
• Billing Investigations

Core Competencies

• Integrity
• Accountability
• Cybersecurity
• Person-Centered Care

Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.