Revenue Integrity Consultant, Bus. Performance Optimization (Hybrid)
Medical Plaza North, United States
USD 70K-111K (estimate) Mid-level Full Time
Tasks
- Analyze claim process breakdowns
- Analyze revenue capture trends
- Build reports and dashboards
- Collaborate with IT finance operations compliance
- Conduct continuous process improvement
- Conduct operational compliance reviews
- Define KPIs
- Develop automation initiatives
- Develop standardized workflows
- Drive operational efficiency
- Ensure coding billing compliance
- Ensure post implementation sustainability
- Escalate high risk revenue impacts
- Evaluate system configuration for charge capture
- Lead consulting engagements
- Manage projects and milestones
- Mitigate implementation risks
- Monitor payer audit outcomes
- Optimize revenue cycle workflows
- Perform audit trail reviews
- Perform root cause analysis
- Perform value stream assessments
- Perform variance analysis
- Perform workflow redesign
- Present findings to executives
- Provide stakeholder training
- Recommend workflow and documentation improvements
- Support denial resolution strategy
- Support system implementations and upgrades
Perks/Benefits
Skills/Tech-stack
APC | Billing Compliance | CMS Rules | CPT | Cause analysis | Charge capture | Coding Compliance | Continuous Process | Continuous Process Improvement | DRG | Dashboard Development | Data reporting | Denial Management | Epic | Epic reporting | GFE | HCPCS | HIPAA | Healthcare Revenue | Healthcare revenue cycle | ICD-10 | KPI Development | Microsoft Excel | No Surprises Act | OPPs | Payer reimbursement | Pivot Tables | Power BI | Process Automation | Process Improvement | Project Management | Revenue Capture Optimization | Revenue Cycle | Root Cause Analysis | Root cause | SQL | Tableau | Value Stream | Value stream mapping | Variance analysis | Workflow redesign
Education
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