Healthcare Revenue Cycle Consultant

A large healthcare consulting group is seeking a Clinical Consultant with experience in outpatient facility documentation, coding, and charging. The ideal candidate will possess knowledge and experience in collaborating with various hospital stakeholders to enhance processes, measurement tools, and resources for accurately capturing outpatient revenue while ensuring compliance with industry rules and regulations. This role involves significant client interaction and a commitment to client satisfaction.

The consultant will partner with clients throughout all phases of outpatient Clinical Documentation Improvement (CDI) and charging engagements, helping them achieve success. Strong teamwork and effective time management are essential, as the consultant will participate in multiple engagements.

Candidates must have a deep understanding of outpatient facility documentation, coding, and charging, with definable contributions that illustrate value. A competitive benefits package and bonus incentives are offered.

This position requires intermittent travel throughout the United States.

Overview of Responsibilities:

• Leading clinical/coding focused tasks during assessment, implementation, and monitoring phases of projects
• Reviewing retrospective claims, conducting charge capture and coding reviews/validations, and reviewing/validating EMR documentation
• Reviewing medical records for complete and accurate documentation to reflect the severity of illness and resources used
• Identifying opportunities for improved documentation in the medical record to more accurately reflect the acuity and complexity of the patient and the care provided
• Participating in team-based peer chart and claims reviews
• Writing, editing and finalizing chart review findings that are shared with our clients
• Performing clinical documentation, coding and charging guideline training/education via virtual and/or in person presentations and department discussions
• Working collaboratively with team members to achieve overall specificity, accuracy, and completeness of clinical documentation to support the highest integrity of the medical record

Requirements:

• A minimum of one of the following certifications: RN, BSN, RHIT, RHIA, COC, CPC, CHRI, CDIP, CCDS
• Hospital Facility mid-revenue cycle experience
• Strong understanding of charge capture from a clinical perspective
• Strong understanding of MediCare guidelines
• Strong understanding of Medical Coding

Additional Skills:

• Revenue Cycle Management Consulting experience
• Nursing Background (RN or BSN)
• Excellent communication skills

Pay: $50.50 - $72 Depending on experience

Length: 1040 Hours (Approx. 6 months) Contract to Hire*

*Possibility of permanent employment upon successful completion of contract period

Benefits Provided by Medix:

In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).

As an employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

• 401(k) Retirement Plan (After 6+ months of service, during a 401k enrollment period on 1/1 or 7/1)
• Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
• Prescription Programs
• Short Term Disability Insurance
• Term Life Insurance Plan

Sick Pay: You will receive one day of Sick Time after working 600 hours and an additional day of Sick Time for every 300 hours after. **Please note that if you're in a city/state with unique PTO requirements, the city/state's policy will override Medix's internal PTO policy.

Medix is acting as an Employment Business in relation to this vacancy.