RCM Systems & Data Governance Advisor

Cardinal Health; Madison (WI); On-site; USD 81,000 - 92,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

401k savings plan

HSA

Job summary

Cardinal Health in the United States is seeking an Advisor, Revenue Cycle Management to act as a strategic partner for optimizing revenue cycle systems and data governance across multiple sites. The role focuses on governance, configuration, and improvements to drive financial performance.

The incumbent collaborates with Revenue Cycle, Finance, and Operations to align contract structures, coding updates, and reporting with organizational goals, ensuring accuracy and operational efficiency.

Qualifications

• 8-12 years of experience, preferred
• Bachelor's degree in related field, or equivalent work experience, preferred
• At least five (5) years of experience in a revenue cycle management or related field preferred
• Strong understanding of medical coding, billing practices, and revenue cycle processes
• Proficiency in revenue cycle management software and MS Office Suite
• Excellent analytical, organizational, and problem-solving skills
• Strong attention to detail and ability to work independently as well as part of a team
• Effective communication skills, both written and verbal
• Knowledge of basic medical terminology
• Knowledge of reimbursement and policy impacts on fee schedules
• Experience with Unlimited Financials and G4 Centricity is highly desirable.

Responsibilities

• Provide consultative oversight of revenue cycle practice management system configuration, optimization, governance, and ongoing operational effectiveness.
• Serve as the primary subject matter expert for revenue cycle systems, providing consultative guidance, issue resolution, and support to stakeholders while promoting operational efficiency and data integrity.
• Lead complex system configuration, troubleshooting, and enhancement activities; collaborate with IT and vendor partners to resolve issues, implement system improvements, and perform routine audits to ensure data accuracy and compliance.
• Continuously evaluate revenue cycle system performance and business processes, utilizing analytics and stakeholder feedback to identify opportunities for workflow optimization, operational efficiencies, enhanced data integrity, and improved financial outcomes.
• Oversee the governance and optimization of insurance plan configurations within the revenue cycle platform, ensuring alignment with payer contracts, reimbursement methodologies, revenue integrity objectives, and organizational reporting requirements.
• Partner with Revenue Cycle, Finance, and Operational stakeholders to establish and maintain contract group structures, ensuring accurate revenue attribution, contract compliance, and meaningful financial reporting across provider, entity, and payer relationships.
• Analyze payer, reimbursement, and operational performance data to identify opportunities for revenue enhancement, process improvement, reimbursement optimization, and increased revenue cycle effectiveness.
• Provide oversight of fee schedule administration, ensuring accurate system configuration, reimbursement alignment, and support for revenue optimization and financial reporting initiatives.
• Manage the review, implementation, and validation of coding updates in collaboration with vendor partners, ensuring timely configuration of CPT, HCPCS, and ICD-10 changes to support accurate reimbursement and regulatory compliance.
• Own provider and location master data governance within the revenue cycle platform, driving standardization, data integrity, and process improvements that support operational scalability, reimbursement accuracy, and organizational growth.
• Collaborate with Operations, Credentialing, and other key stakeholders to ensure provider and location records remain accurate, current, and synchronized across revenue cycle systems, supporting operational readiness, compliance, and financial performance.

Skills

Analytical skills

Organizational skills

Problem solving

Communication skills

Attention to detail

Independent work

Education

Bachelor's degree in related field

Equivalent work experience

Tools

MS Office Suite

Revenue Cycle Management software

Unlimited Financials

G4 Centricity

Job description

Cardinal Health in the United States is seeking an Advisor, Revenue Cycle Management to act as a strategic partner for optimizing revenue cycle systems and data governance across multiple sites. The role focuses on governance, configuration, and improvements to drive financial performance.

The incumbent collaborates with Revenue Cycle, Finance, and Operations to align contract structures, coding updates, and reporting with organizational goals, ensuring accuracy and operational efficiency.