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The Wilshire Group

Experience you can trust; results you can count on

Senior Revenue Cycle Consultant

ConsultantConsultantContractRemoteSeniorTeam 11-50H1B No SponsorCompany SiteLinkedIn

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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