Internal Consultant- Revenue Cycle- Remote

Ochsner Health; Shreveport, Northern (LA, KY); Híbrido; USD 70.000 - 110.000; Jornada completa

Descripción de la vacante

Ochsner Health seeks a senior professional to lead revenue integrity initiatives, oversee chargemaster accuracy, and drive process improvements across the revenue cycle. The role requires deep analytical ability, collaboration with clinical and financial teams, and strong governance to ensure accurate coding and reimbursement.

The candidate should have extensive experience in data analysis, Excel, and project management, with proven leadership and communication skills to present findings and

Formación

• 10 years related professional experience OR 5 years related professional experience with a Bachelor's degree
• Experience with revenue integrity, chargemaster, charge capture, audit, coding, reimbursement, or revenue cycle operations
• Experience with Epic charging workflow and related tools such as Charge Router or workqueue
• Strong analytical and critical-thinking skills
• Advanced Excel and data analysis skills preferred
• Ability to work independently while managing multiple priorities
• Experience partnering with operational, financial, revenue cycle, and clinical stakeholders
• Strong communication skills with the ability to present findings, recommendations, and solutions

Responsabilidades

• Facilitates processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation.
• Participates in research, training, and education that supports the project.
• Escalates issues that may not put the project at risk; recommends solutions.
• Ensures data integrity and quality control.
• Ensures projects remain within budget.

Conocimientos

Computer skills

Windows

Verbal communication

Written communication

Interpersonal skills

Leadership

Organizational skills

Time management

Project management

Educación

High School diploma or equivalent

Bachelor's degree or higher in related field

Herramientas

Epic charging workflow

Charge Router

Workqueue

Descripción del empleo

Exceptional care starts with exceptional people.

For us, this is more than a job– it’s a calling. It’s waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required -High School diploma or equivalent

Preferred -Bachelor's degree in a related field or an advanced degree in Finance, Accounting, Business/Health Administration Advanced degree inFinance, Accounting, Business, Healthcare Administration or related field

Work Experience

Required -10 years related professional experience OR 5 years related professional experience with a Bachelor's degree

Preferred Exprience

• Revenue Integrity, chargemaster, charge capture, audit, coding, reimbursement, or revenue cycle operations experience.
• Epic charging workflow, Charge Router, workqueue, or operational troubleshooting experience.
• Experience conducting audits, investigations, trend analysis, and root cause analysis.
• Strong analytical and critical-thinking skills.
• Advanced Excel and data analysis skills preferred.
• Experience identifying opportunities and implementing sustainable process improvements.
• Ability to work independently while managing multiple priorities.
• Experience partnering with operational, financial, revenue cycle, and clinical stakeholders.
• Strong communication skills with the ability to present findings, recommendations, and solutions.

Certifications

Preferred -Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong interpersonal skills
• Strong leadership skills
• Organizational skills
• Time management skills
• Project management skills

Job Duties

• Facilitates processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation.
• Participates in research, training, and education that supports the project.
• Escalates issues that may not put the project at risk; recommends solutions.
• Ensures data integrity and quality control.
• Ensures projects remain within budget.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintaisn and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Must be able to travel throughout and between facilities. Must be able to sit for prolonged periods of time. Must be able to work a flexible schedule (e.g. 24/7, weekend, holiday, on call availability). Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases.

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.