Strategic Revenue Cycle Compliance Consultant

HealthPartners; Minnesota; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Retirement program

Tuition reimbursement

Employee assistance program

Job summary

Park Nicollet seeks a Revenue Cycle Regulatory and Compliance Consultant to ensure compliant billing across the system, covering facility and professional claims. You will lead regulatory reviews and maintain tracking tools, collaborating with Revenue Cycle, Legal, Compliance, IT and care group leaders to implement compliant processes.

The role requires translating complex CMS and payor requirements into actionable practices, maintaining timelines, and ensuring accuracy with strong communication

Qualifications

• Bachelor’s degree; or equivalent work experience.
• 3+ years working with healthcare revenue cycle or within other highly regulated processes.

Responsibilities

• Manage and coordinate system-wide regulatory and payor requirements to ensure compliant billing practices.
• Perform regular internal audit reviews to ensure compliant billing and reporting regulations are being followed.
• Create and maintain tools and databases for tracking projects and proactively review regulatory filings.
• Keep current on regulatory requirements, such as 855 enrollments and state data submission requirements.
• Collaborate with key stakeholders across Revenue Cycle, Legal, Compliance, IT, and care group leaders to analyze and interpret data and policy.
• Stay up to date on CMS, commercial payors, and federal/state legislation changes.

Skills

Excel

Analytical thinking

Problem solving

Communication skills

Attention to detail

Time management

Collaboration

Self-motivation

Education

Bachelor’s degree

Master’s degree

Tools

Microsoft 365

Job description

Park Nicollet seeks a Revenue Cycle Regulatory and Compliance Consultant to ensure compliant billing across the system, covering facility and professional claims. You will lead regulatory reviews and maintain tracking tools, collaborating with Revenue Cycle, Legal, Compliance, IT and care group leaders to implement compliant processes.

The role requires translating complex CMS and payor requirements into actionable practices, maintaining timelines, and ensuring accuracy with strong communication