Revenue Integrity Managing Consultant

Work You’ll Do

As a Revenue Integrity Managing Consultant you will direct project teams as they implement best practices and bring world-class Revenue Cycle strategies to healthcare provider client locations throughout the U.S. You will perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows. In addition, you will improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generate. You will work closely with Information Services to complete and test charge-related build by having a clear understanding of the charging workflows and triggers built within the EHR.

You’ll be a vital member of a team that is passionate about improving healthcare and focused on enhancing patient care. You’ll be an example of our strong company culture and foster a trusted advisor relationship with each client and amongst the team. Every day you’ll be making a positive impact.

About You

• 7 years of experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing.
• 2 years of experience working in an Epic environment.
• 2 years of healthcare consulting experience.
• Proven success leading large-scale Revenue Integrity Strategic development and implementation.
• Have a full understanding of charging capture and charge reconciliation processes, including the electronic health record charge links to the CDM and charge capture processes to ensure compliance with government and third-party payer requirements.
• Work collaboratively to assist in the development and implementation of process enhancements or initiatives that enhance charge capture accuracy and reimbursement.
• Monitor the accuracy and build of charging workflows and other interface or third-party charging systems and partners with Epic IT to implement system workflow changes.
• Leverage functionality of revenue cycle Epic application to increase clean claim rate, reduce denial rates and increase cash collections, through implementation of claim rules and edits and cascade information to impacted stakeholders and to Revenue Cycle Leadership.
• Use data and reports to perform root cause analysis to identify areas of opportunities to organizational revenue integrity.
• Manage complex projects related to existing and new revenue initiatives to increase reimbursement and provide support for projects.
• Epic Certification (preferred): Resolute HB, SBO, Charge Capture, CDM.
• Bachelor’s degree
• Weekly nationwide travel required
  
  

About Impact Advisors:

Impact Advisors is a nationally recognized healthcare consulting firm dedicated to improving healthcare through process improvement and technology. As a trusted healthcare leader, we help clients optimize clinical and operational performance through our Best in KLAS® advisory and implementation services. Our goal is to provide innovative solutions to the industry’s toughest challenges.

Our People And Culture

We believe in a caring, fun, honest and autonomous work environment and we recognize that our dedication to our associates drives our success. Our mission to create a positive Impact, fuels our associates to innovate and deliver high value services to our clients.

In healthcare, many of the greatest ideas and discoveries come from a diverse mix of minds, backgrounds, and experiences, and we are committed to cultivating an inclusive work environment. Impact Advisors provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, genetic disposition, neurodiversity, disability, veteran status, or any other protected category under federal, state and local law.