Revenue Cycle Consultant

Major Responsibilities & Duties:

Working under the direction of IRI Principals, candidate will be expected to complete tasks as identified in a timely and accurate manner, using expanded personal knowledge of EHR, billing system, coding, chargemaster and revenue cycle best practices, researching issues for resolution and meeting client goals.

Management of Time and Resources:

1. Completes work assignments within an acceptable time frame.
2. Uses time and resources to the best possible advantage for successful completion of job responsibilities.
3. Develops and maintains efficient working relationships.
4. Is reliable in respect to attendance.
5. Is reliable in respect to punctuality.
6. Recognizes the importance of team efforts and partners with others to achieve positive outcomes.
7. Works well independently and knows when to ask for assistance and direction to complete assigned tasks.

Quality:

1. Is part of a team effort to ensure quality services.
2. Offers creative solutions or alternatives to issues or concerns.
3. Produces quality results.
4. Continually strives to improve the quality of work.
5. Accepts responsibility for all work performed.

Knowledge:

1. Maintains in-depth knowledge of revenue cycle best practices and hospital billing systems.
2. Maintains expanded knowledge of chargemaster, third party billing, and follow up practices.
3. Stays current with changes in governmental and coding requirements related to charge build, third-party insurance, and patient accounting functions.
4. Is responsible for ongoing development of his/her work skills using available resources (i.e., in-services, formal educational programs, other work groups and on-the-job training).
5. Performs analytical and decision making functions.
6. Recognizes and seeks assistance/consultation when appropriate.
7. Maintains all certifications.

 Customer Service:

1. Is cooperative in interactions, treating clients with courtesy, respect, and compassion.
2. Is patient when responding to questions and answers questions appropriately.
3. Responds to requests in a timely manner.
4. Handles interruptions in a skillful way.
5. Maintains a professional appearance and demeanor.
6. Strives to prevent/resolve client concerns to the client’s satisfaction.

Job Responsibilities:

1. Position is remote.
2. Travel may be required.
3. Candidate would act as a CDM/Revenue Cycle Consultant.
4. Applies knowledge of AMA CPT/HCPCS format, guidelines, and notes to locate the correct codes for all services and procedures contained in a CDM .
5. Understands modifiers and appropriate application to procedure or service codes when applicable.
6. Applies knowledge of the Medicare Outpatient Prospective Payment System and other third party reimbursement methodologies to ensure compliant billing and optimal reimbursement.
7. Assists with the identification, recommendation, and implementation of charge description master updates.
8. Research, analyze, document and present on revenue cycle, third-party payer, and CDM topics as assigned.
9. Communicate with clients in written and oral formats to support revenue cycle and CDM inquiries.

Preferred Qualifications: Bachelor’s degree in Business, Finance, or related field , at least 7 years billing experience, coding certificate, excellent communication skills, MEDITECH, EPIC, Cerner EHR systems knowledge, Microsoft applications proficiency, i.e., Word, Excel, PowerPoint, knowledge of third party contracts and billing/reimbursement protocols.