Healthcare Revenue Cycle Consultant

4 weeks ago


Chicago, Illinois, United States Medix Full time
Job Description

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
Requirements
  • 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
Additional Skills
  • 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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