RCM Strategist

RCM Strategist

Shelton, CT (Hybrid 3 to 4 times in a month)

JOB SUMMARY

The RCM Strategist is a client-facing advisor within client s Health's Consulting/Strategy umbrella, dedicated to helping provider organization clients optimize every stage of their revenue cycle from charge capture and coding through claims adjudication, denial management, and accounts receivable recovery. This role delivers measurable financial improvement for clients by diagnosing operational gaps, implementing best-practice workflows, and translating RCM performance data into clear action plans.

Working alongside specialists in PacEHR, VBC/Quality, Payor Enrollment, and Compliance, the RCM Strategist serves as a trusted revenue cycle expert for a portfolio of clients partnering closely with Account Managers to surface expansion opportunities and ensure clients are realizing the full value of their Client s Health engagement.

Revenue Cycle Advisory

Serve as the primary revenue cycle consulting expert for clients, providing advisory support across billing, coding, claims submission, payment posting, denial management, and AR recovery.

Conduct end-to-end RCM assessments to identify gaps in workflow, staffing, technology utilization, and payer contract performance delivering prioritized improvement roadmaps with clear timelines and success metrics.

Advise clients on ICD-10, CPT, and HCPCS coding accuracy, charge capture integrity, and clinical documentation improvement (CDI) strategies to minimize coding-related denials and underpayments.

Guide clients in reducing days in AR, improving clean claim rates, and accelerating reimbursement cycles through operational changes and targeted payer engagement strategies.

Support clients in building and managing denial management programs including root cause analysis, appeal processes, payer escalations, and workflow redesign to prevent recurring denials.

Performance Analytics & Reporting

Client & Stakeholder Engagement

Cross-Team Collaboration & Practice Growth

Education

Bachelor's degree in Healthcare Administration, Finance, Business, or a related field or equivalent professional experience.

Coding certification (CPC, CCS, CCS-P, or equivalent) strongly preferred.

Experience

5 8+ years of experience in healthcare revenue cycle management, medical billing, or healthcare financial operations.

3+ years in a client-facing, consulting, or advisory role within a healthcare services, managed services, or consulting organization.

Deep working knowledge of the full revenue cycle charge capture, coding, claims, payment posting, denial management, and AR collections.

Experience with major practice management and billing systems (e.g., Athenahealth, eClinicalWorks, Epic, Greenway, Kareo) and clearinghouses.

Familiarity with payer contract management, fee schedule analysis, and underpayment auditing.

Skills & Competencies

Strong command of ICD-10, CPT, and HCPCS coding conventions and CMS billing regulations across specialty and primary care settings.

Excellent analytical and reporting skills able to build and interpret RCM dashboards, surface root causes, and present findings to non-technical audiences.

Strong client relationship management and executive communication skills; able to present clearly to a CFO and a billing specialist with equal effectiveness.

Ability to manage multiple client engagements simultaneously, prioritize competing timelines, and deliver consistently under pressure.

Consultative mindset asks good questions, brings structured solutions, and holds clients accountable to improvement milestones.