Revenue Cycle Systems Advisor: Optimize & Governance

Cardinal Health; Boise (ID); On-site; USD 81,000 - 92,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

HSA

401k savings plan

MyFlexPay access

FSAs

Disability insurance

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health, a global healthcare services company, seeks an Advisor for Revenue Cycle Management to optimize revenue cycle systems, governance, and data integrity across multiple sites. You will drive improvement initiatives and collaborate with cross-functional teams to enhance financial performance.

The role focuses on consulting, system configuration, and stakeholder collaboration to ensure accurate reimbursement and scalable processes within a large healthcare network.

Qualifications

• 8-12 years of experience in revenue cycle management
• Bachelor's degree in a related field, or equivalent work experience
• At least five (5) years of revenue cycle management experience 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

Medical coding

Billing practices

Analytics

Communication

Attention to detail

MS Office

Problem solving

Teamwork

Education

Bachelor's degree or equivalent

Tools

Revenue cycle software

G4 Centricity

Unlimited Financials

Job description

Cardinal Health, a global healthcare services company, seeks an Advisor for Revenue Cycle Management to optimize revenue cycle systems, governance, and data integrity across multiple sites. You will drive improvement initiatives and collaborate with cross-functional teams to enhance financial performance.

The role focuses on consulting, system configuration, and stakeholder collaboration to ensure accurate reimbursement and scalable processes within a large healthcare network.