Healthcare Revenue Cycle Consultant
4 weeks ago
A leading healthcare consulting group, Medix, is seeking a skilled Clinical Consultant to join their team. The ideal candidate will possess expertise in outpatient facility documentation, coding, and charging, with a strong understanding of industry rules and regulations.
Key Responsibilities- Lead clinical/coding focused tasks during assessment, implementation, and monitoring phases of projects
- Review retrospective claims, conduct charge capture and coding reviews/validations, and review/validate EMR documentation
- Identify opportunities for improved documentation in the medical record to more accurately reflect the acuity and complexity of the patient and the care provided
- Participate in team-based peer chart and claims reviews
- Write, edit, and finalize chart review findings that are shared with clients
- Perform clinical documentation, coding, and charging guideline training/education via virtual and/or in-person presentations and department discussions
- Work collaboratively with team members to achieve overall specificity, accuracy, and completeness of clinical documentation to support the highest integrity of the medical record
- A minimum of one of the following certifications: RN, BSN, RHIT, RHIA, COC, CPC, CHRI, CDIP, CCDS
- Hospital Facility mid-revenue cycle experience
- Strong understanding of charge capture from a clinical perspective
- Strong understanding of Medicare guidelines
- Strong understanding of Medical Coding
- Revenue Cycle Management Consulting experience
- Nursing Background (RN or BSN)
- Excellent communication skills
This is a contract-to-hire position with the possibility of permanent employment upon successful completion of the contract period. Medix offers a competitive benefits package, including health insurance, 401(k) retirement plan, and short-term disability insurance.
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