Revenue Cycle Consultant

Pinnacle Healthcare Consulting; United States; À distance; USD 70 000 - 90 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision insurance

401(k) Plan with employer match

Résumé du poste

A national healthcare advisory firm is seeking a Revenue Cycle Consultant to optimize the financial flow from patient registration to payment. Candidates should have at least 5 years of experience in revenue cycle management alongside strong analytical and problem-solving skills. The role involves conducting reviews, developing action plans, and ensuring compliance with healthcare regulations, making it vital for candidates to have certifications in healthcare billing and coding. This position is remote with travel expected.

Qualifications

• 5+ years of revenue cycle management or consulting experience required.
• Knowledge of healthcare revenue cycle management and coding.
• AAPC or AHIMA credentials required.

Responsabilités

• Conduct reviews of coding, billing, and collections processes.
• Develop strategies to improve efficiency of revenue cycle.
• Educate staff on healthcare regulations and practices.

Connaissances

Excellent customer service skills

Strong written communication

Competent use of Microsoft Office

Formation

Bachelor’s degree or commensurate experience

Outils

Cerner PowerChart

EPIC

Meditech

Description du poste

Revenue Cycle Consultant

Pinnacle Healthcare Consulting is a national healthcare advisory firm headquartered in Denver, Colorado, with regional offices in St. Louis, Indianapolis, Phoenix and remote employees in 30 states. We offer a collaborative team environment and recognition for hard work.

Summary

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. The role involves staff training, system implementation, compliance, and strong analytical skills.

Primary Responsibilities

1. Conduct in-depth reviews of current workflows (registration, coding, billing, collections, and denials).
2. Develop action plans and strategies to correct identified issues, improve processes, and leverage technology.
3. Lead or support the implementation of new systems, processes, or training programs.
4. Track key metrics and report on progress.
5. Educate staff on best practices, new policies, and compliance.
6. Ensure adherence to healthcare regulations and payer rules.
7. Provide collaborative client‑facing support to meet project plan requirements and deliverable timelines.
8. Collaborate with team resources to draft reports.
9. Present review results to client contacts as qualified.
10. Perform engagement procedures to identify issues, review evidence, and document business processes.
11. Prepare working papers to support results with minimal edits.
12. Identify, develop, and document issues and recommendations using independent judgment.
13. Coordinate and communicate results of consulting and internal audit projects via written reports and oral presentations.
14. Provide input to the project team and status updates to leadership during all project phases.
15. Ensure PERCS’ high expectations for quality in all assigned projects.
16. Perform related projects or work as assigned.

Proposals and Business Development

1. Relay business development opportunities from client communications or inquiries to expand scope or generate new work.
2. Participate with leadership in business marketing initiatives at conferences or sales calls to provide technical expertise when needed.

Education and Certifications

Bachelor’s degree or commensurate experience in finance, healthcare administration, or related field. Knowledge of healthcare revenue cycle management, billing, coding, or finance operations with an AAPC credential (CIC® or COC®) or AHIMA credential (CCS, RHIT or RHIA) is required. Additional certifications such as CPMA®, CDEI®, CDEO®, CCDS, or CRCS® are a bonus.

Experience

• Minimum five (5) years of revenue cycle management, health care consulting, and/or industry experience required with professional fee claims.
• Patient Access
• Coding and billing (ICD‑10‑CM, CPT®, HCPCS)
• Denials Management
• Collections
• Accounts Receivable
• Contract Management
• Experience with Cerner PowerChart, EPIC, Meditech, and other EMR systems preferred.

Knowledge

• Above‑average knowledge 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.

Skills

• Ability to write business reports or other professional deliverables.
• Excellent customer service skills, in‑person and telephonically.
• Strong written communication and report presentation.
• Competent use of Microsoft Office® (Word, PowerPoint, Excel).

Abilities

• Successfully participate in multiple rapidly changing projects.
• 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 in a fast‑paced environment.

Other Requirements

Job performance evaluations will require compliance with PERCS Compliance Program.

Equipment Operated

Standard office equipment including computers, fax machines, copiers, printers, telephones, postal machines, etc. Expert level MS Word, Excel, PowerPoint, Adobe publishing.

Work Environment

Remote position with possible travel of approximately 25%. Occasional evening and weekend hours may be required to meet project/client demands, promotional events, and team needs.

Physical Requirements

Must possess the physical and mental abilities to perform tasks in a professional office environment; sitting 90% of the day; manual dexterity to operate office machines; stooping, bending, lifting up to 20 lbs; and managing stress from multiple demands.

Competitive Benefits

• Medical, Dental, Vision, STD, LTD, HSA (as applicable with Employer contribution)
• 401(k) Plan with employer match

Equal Opportunity Employer

Pinnacle is an Equal Opportunity Employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws.