The Wilshire Group

Senior Strategic Consultant, Revenue Integrity

The Wilshire Group

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Location Type: Hybrid

Location: CaliforniaUnited States

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Salary

💰 $90 per hour

Job Level

Tech Stack

About the role

  • Serve as a strategic advisor to Revenue Cycle and Revenue Integrity leadership
  • Lead and support Epic revenue cycle optimization initiatives, including Hospital Billing (HB) and Professional Billing (PB)
  • Partner with clinical, operational, and IT teams to improve charge capture, billing workflows, and reimbursement performance
  • Evaluate and enhance: Charge capture processes, CDM (Charge Description Master) strategy and maintenance, Workqueues and claim edits, Denial prevention and revenue recovery workflows
  • Provide project management leadership across multiple initiatives: Implementation planning, Operational readiness, Go-live and post-live support
  • Facilitate cross-functional meetings, including executive-level reporting and strategy sessions
  • Translate operational needs into Epic system design and build enhancements
  • Support workflow redesign and process improvement initiatives
  • Ensure compliance with payer, regulatory, and internal revenue integrity standards
  • Assist with financial reporting, analytics, and performance tracking

Requirements

  • 10+ years of Epic Revenue Cycle experience
  • Deep expertise in: Epic Resolute Hospital Billing (HB), Epic Resolute Professional Billing (PB)
  • Proven experience in: Revenue Integrity, Charge capture optimization, CDM management and consolidation, Denial management and claims optimization
  • Strong background in Epic system build, configuration, and workflow design
  • Experience leading large-scale implementations or optimizations within complex health systems
  • Demonstrated ability to work as a liaison between operations and IT
  • Strong project management and stakeholder engagement skills
Applicant Tracking System Keywords

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

Hard Skills & Tools
Epic Revenue CycleEpic Resolute Hospital BillingEpic Resolute Professional BillingCharge capture optimizationCDM managementDenial managementClaims optimizationEpic system buildWorkflow designProject management
Soft Skills
Strategic advisorLeadershipStakeholder engagementCross-functional collaborationCommunicationOperational readinessFacilitationAnalytical skillsProblem-solvingLiaison