The Wilshire Group
Experience you can trust; results you can count on
Senior Revenue Cycle Consultant
Location
United States
Posted
71 days ago
Salary
$100 / hour
Seniority
Senior
Bachelor Degree8 yrs expEnglish
Job Description
• Serve as a senior advisor for Revenue Integrity and Middle Revenue Cycle initiatives, ensuring alignment across HIM, Coding, HB, PB, and Revenue Cycle leadership
• Lead analysis, design, and optimization of revenue cycle workflows related to coding, charging, documentation, and claim readiness
• Partner with operational and technical teams to evaluate current-state workflows, identify gaps, and recommend scalable, compliant solutions
• Provide oversight and guidance on Epic-related initiatives, ensuring build decisions align with best practices and enterprise revenue strategy
• Support initiatives related to:
• Coding automation and prioritization
• Charge capture and revenue integrity workflows
• Documentation improvement and deficiency management
• Claim accuracy, denials prevention, and compliance readiness
• Translate complex technical concepts into clear operational guidance for non-technical stakeholders
• Participate in discovery, validation, testing, and go-live support as needed
• Mentor analysts and junior consultants, providing knowledge transfer and best-practice guidance
• Collaborate with Compliance, Privacy, Patient Financial Services, and Clinical stakeholders to support regulatory and organizational goals
Job Requirements
- 8+ years of progressive experience in Revenue Cycle, HIM, or Revenue Integrity within a healthcare environment
- Strong working knowledge of:
- Middle Revenue Cycle workflows
- Hospital Billing (HB) and Professional Billing (PB)
- Coding operations (facility and professional)
- HIM processes including documentation, deficiencies, and release of information
- Epic experience with a solid understanding of build concepts, dependencies, and downstream impacts (hands-on build not required)
- Proven ability to operate at a strategic and consultative level, guiding decisions rather than executing configuration
- Experience leading or supporting large-scale optimization, automation, or compliance initiatives
- Excellent analytical, communication, and stakeholder management skills
- Ability to work independently in a fast-paced, client-facing environment.
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