The Wilshire Group

Consultant

• 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

Senior Revenue Cycle Consultant