PCG Consulting Group International

Consultant

• Review clinical documentation to ensure coding accuracy and billing compliance.
• Evaluate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding practices.
• Assess documentation quality and identify coding gaps affecting reimbursement.
• Support claim reconstruction by validating coded encounters and supporting documentation.
• Collaborate with HIM, Coding, Clinical Documentation Integrity (CDI), Revenue Integrity, and Patient Financial Services teams.
• Review denied claims and identify documentation or coding issues contributing to payment delays.
• Recommend process improvements that enhance coding accuracy and revenue cycle performance.
• Assist with documentation audits and coding validation efforts.
• Produce findings and recommendations for project leadership.

Senior HIM & Coding Consultant

• Evaluate end-to-end hospital revenue cycle operations
• Analyze charge capture, billing, and reimbursement workflows
• Review denial trends and identify opportunities for revenue recovery
• Assess patient accounting processes and financial controls
• Validate reimbursement workflows and claims processing activities
• Support claim reconstruction and revenue recovery initiatives
• Collaborate with Revenue Integrity, HIM, Patient Financial Services, and Finance teams
• Document findings and present recommendations to project leadership

Revenue Cycle Consultant

• Assess end-to-end Paragon revenue cycle workflows.
• Analyze patient accounting, charge capture, billing, and claims processing.
• Identify root causes impacting reimbursement.
• Support claim reconstruction and financial data validation.
• Collaborate with hospital leadership and cross-functional consulting teams.
• Document current-state processes and recommend operational improvements.
• Present findings and support executive-level deliverables.

Senior Revenue Cycle Consultant

QA Automation Engineer

• Configure and develop solutions within the IntelePeer CAP platform
• Build and maintain SmartAgent conversational workflows
• Assist with AI-driven voice automation implementations
• Develop API integrations and data transformation logic
• Support Smartsheet and list management integrations
• Participate in workflow design and architecture discussions
• Help implement reporting and analytics solutions
• Work alongside PCG and client stakeholders during implementations
• Troubleshoot production issues and optimize workflows
• Learn additional AI and automation platforms as PCG expands services
• Support healthcare and contact center automation initiatives

Senior HIM & Coding Consultant

Revenue Cycle Consultant

Senior Revenue Cycle Consultant

AI Automation Developer – IntelePeer, Conversational AI Platforms