Mar 01, 2024

Revenue Cycle Management Consultant

  • Home Centered Care Institute
  • Remote
  • $65.00 - $70.00 hourly
Contract (CPC) Certified Professional Coder (CPB) Certified Professional Biller (CPMA) Certified Professional Medical Auditor

Job Description

The Home Centered Care Institute (HCCI) is a mission-driven non-profit dedicated to increasing patient access to home-based primary care (HBPC), particularly for medically complex patients who are best cared for at home. HCCI is passionately committed to its vision of bringing HBPC into the healthcare mainstream, and we are proud to be advancing the field of HBPC through education, consulting, research, and advocacy.

We seek a seasoned Revenue Cycle Management (RCM) Consultant and highly skilled certified coder and biller to join our team on a contract basis. As a remote consultant, you will be pivotal in providing expert guidance and support to healthcare organizations in optimizing their revenue cycle processes and maximizing financial performance related to home-based primary care and palliative care.

Key Responsibilities:

Revenue Cycle Assessment: Conduct comprehensive assessments of healthcare organizations' revenue cycle operations, including billing, coding, collections, and reimbursement processes, and provide accurate and timely guidance to clients. 

Process Optimization: Identify, evaluate, and develop recommendations to effectively advise clients on how to optimize revenue and identify compliance risk areas within key components of revenue cycle management, inclusive of coding, billing, and documentation. 

Revenue Integrity: Ensure the accuracy, completeness, and compliance of coding, billing, and documentation practices to minimize denialsand maximize reimbursement.

Documentation Review: Evaluate medical documentation to ensure accuracy, completeness, and compliance with coding guidelines, payer requirements, and industry standards.

Documentation Enhancement: Provide guidance and recommendations to clients on improving documentation practices to accurately reflect the complexity and severity of patient conditions, leading to optimized reimbursement.

Performance Monitoring: Assist clients in establishing key performance indicators (KPIs) and metrics to track the financial health of the revenue cycle and provide recommendations for reporting on performance trends, variances, and opportunities for improvement.

Training and Education: Assist with the development and delivery of training programs to clients on revenue cycle best practices, coding guidelines, regulatory requirements, and system functionalities to promote revenue cycle excellence.

Compliance and Regulatory Compliance: Ensure clients stay abreast of changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance and mitigate risks associated with revenue cycle management.

Resource Development: Apply subject matter expertise to assist in the development of actionable and valuable resources, tools, and templates for home-based primary care and palliative care providers and practices. 

Qualifications:

  • Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent certification required.
  • Certified Professional Medical Auditor (CPMA), Certified Revenue Cycle Professional (CRCP), or equivalent certification preferred.
  • Proficiency in healthcare coding systems (e.g., ICD-10, CPT, HCPCS) and regulatory requirements (e.g., Medicare, Medicaid, commercial payers).
  • Minimum of 5 years of experience in healthcare revenue cycle management, consulting, or related field in home-based primary care and/or palliative care.
  • Minimum of 3 years experience conducting billing and coding audits and compliance reviews for home-based primary care and/or palliative care.
  • Strong understanding of revenue cycle processes, including billing, coding, collections, and reimbursement methodologies in home-based primary care and/or palliative care.
  • Knowledge of value-based care models, bundled payments, and alternative payment methodologiesExcellent verbal and written communication skills, interpersonal skills, and decision-making skills, with the ability to effectively educate and train others.
  • Ability to work independently in a remote setting and collaborate effectively with virtual teams.
  • Bachelor’s degree in healthcare administration, Business Administration, Finance, or related field required; Master's degree preferred.

If you are looking for an opportunity to work collaboratively with passionate and mission-driven colleagues to enhance the mission of providing service to those implementing HBPC, please apply today!

HCCI is committed to diversity in the workplace and is an equal-opportunity employer

Required Experience Level

Intermediate Level

Minimum Education

Bachelor's Degree

Minimum Experience Required

4-6 years

Required Travel

No required travel

Applicant Location

US residents only