Overview
This role involves overseeing day-to-day tasks related to clinical revenue management and charge capture optimization projects for Professional Billing clients. The position requires applying technical expertise and interpersonal skills to support clients by delivering high-quality analysis and process improvement strategies that enhance revenue cycle efficiency and effectiveness. Collaboration with various levels of client leadership is essential to make a tangible impact on their operations.
Responsibilities
- Manage clinical revenue cycle and charge capture optimization projects for Professional Billing customers.
- Utilize advanced technology tools to analyze and improve client revenue cycle processes.
- Collaborate with client leadership and internal teams to implement solutions.
- Provide education and support related to provider coding and charge capture.
- Lead multiple projects and guide cross-functional teams.
Required Qualifications
- Bachelor's degree in business or a health-related field (MBA, MHA, and/or MPH highly desirable).
- 3-5 years of healthcare experience focused on professional billing coding and charging.
- Previous experience in professional services or consulting with a proven track record of client-focused solutions.
- Expertise in professional revenue cycle management, specifically physician coding and charge capture.
- Relevant licensure or certifications such as CPC, COC, CPPM, CRCR, CIRCC, RHIA, or CPMA.
- Strong leadership and project management skills.
- Exceptional financial and analytical skills with proficiency in data analytics tools (e.g., Excel).
- Excellent written and verbal communication skills for diverse audiences.
- Prior sales or business development experience is a plus.
- Willingness to travel up to 25% to client sites as needed.
Preferred Qualifications
- CPC Certification
- CPPM Certification
- CCDS-O Certification
- Experience with Epic PB Resolute Billing Administration
- Charge capture and coding experience
- Experience with professional clinical documentation and Electronic Medical Record (EMR) systems such as Athena or Epic
Location
This position may require travel up to 25% to client sites. Specific location details are not provided.