The Wilshire Group

Senior Revenue Cycle Consultant

The Wilshire Group

contract

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $100 per hour

Job Level

Senior

About the role

  • 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

Requirements

  • 8+ years of progressive experience in Revenue Cycle, HIM, or Revenue Integrity within a healthcare environment
  • Strong working knowledge of:
  • Middle Revenue Cycle workflows
  • Hospital Billing (HB) and Professional Billing (PB)
  • Coding operations (facility and professional)
  • HIM processes including documentation, deficiencies, and release of information
  • Epic experience with a solid understanding of build concepts, dependencies, and downstream impacts (hands-on build not required)
  • Proven ability to operate at a strategic and consultative level, guiding decisions rather than executing configuration
  • Experience leading or supporting large-scale optimization, automation, or compliance initiatives
  • Excellent analytical, communication, and stakeholder management skills
  • Ability to work independently in a fast-paced, client-facing environment.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
revenue cycle workflowscoding operationsdocumentation improvementclaim accuracycoding automationcharge capturecompliance readinessHIM processesEpic experienceoptimization initiatives
Soft skills
analytical skillscommunication skillsstakeholder managementmentoringstrategic guidanceconsultative skillsindependent workcollaborationknowledge transferoperational guidance