Quick overview
Job description
A healthcare consulting organization is seeking a Managing Consultant, Healthcare Financial Performance to support hospitals and health systems in improving revenue cycle operations, reimbursement performance, and financial outcomes.
This role will lead client engagements focused on revenue integrity, charge capture, charging compliance, denials prevention, reimbursement optimization, revenue recovery, and Charge Description Master (CDM) initiatives. The individual will assess current-state operations, identify opportunities for improvement, develop actionable recommendations, and partner with clients to implement sustainable solutions.
Responsibilities include managing project workstreams, developing financial and operational analyses, presenting findings to executive stakeholders, leading process improvement initiatives, and overseeing the delivery of client engagements.
Qualifications
- 5+ years of experience in Revenue Integrity, Revenue Cycle, Charge Integrity, HIM, Coding, Reimbursement, or healthcare consulting
- Experience leading operational, financial, or performance improvement initiatives within hospitals, health systems, or advisory environments
- Knowledge of charge capture, charge reconciliation, coding, denials management, reimbursement methodologies, compliance, and revenue cycle operations
- Experience analyzing operational and financial data to identify revenue opportunities and performance improvement initiatives
- Strong project management, client-facing, presentation, and stakeholder management skills
- Familiarity with hospital information systems, EMRs, and revenue cycle technologies
This opportunity is well suited for professionals with a blend of provider-side operational expertise and consulting experience who enjoy solving complex financial and operational challenges within healthcare organizations.
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