Revenue Cycle Consultant

Job Summary

A company is looking for a Revenue Cycle Optimization Consultant.

Key Responsibilities

• Perform CDM reviews and maintenance to ensure timely and accurate updates
• Collaborate with various teams to standardize CDM practices and align with enterprise goals
• Utilize datamining to identify and address errors in clients' chargemasters to enhance claim rates

Required Qualifications, Training, and Education

• Bachelor's degree in Health Information Management, Healthcare Administration, Finance, or related field
• 4-7+ years of experience in hospital revenue cycle/CDM management
• Expert knowledge of CPT, HCPCS, ICD-10, revenue codes, and payer-specific billing requirements
• Deep understanding of CMS regulations and hospital reimbursement methodologies
• Strong leadership and analytical skills with the ability to influence at the executive level