RCM CONSULTANT. at Johns Hopkins Aramco Healthcare

Dhahran, Eastern Province, Saudi Arabia -

Full Time

Start Date

Immediate

Expiry Date

02 May, 26

Salary

0.0

Posted On

01 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Charge Capture, EMR Integration, Project Management, Data Analytics, Claims Denials, Process Improvement, Billing Coding, Patient Account Management, Regulatory Compliance, Staff Training, Performance Metrics, Clinical Code Management, Operational Efficiency, Financial Compliance, Technical Support

Industry

Hospitals and Health Care

Description

Job Title RCM CONSULTANT.Job Family Function CFOJob Code 30008798Reports to Job Business Unit LeadJob Description Summary The Revenue Cycle Management Consultant is responsible for critical activities in the revenue cycle management process .- which includes but is not limited to: revenue cycle operational and strategic planning, optimizing revenue performance and financial compliance, managing projects and system implementations, and providing both technical and operational support to enhance revenue cycle efficiency and accuracy while ensuring regulatory complianceStrategic Roles & Responsibilities % 40Strategic Roles & Responsibilities Develop and implement strategies to optimize charge capture processes ensuring alignment with best practices and maximizing revenue captureOversee any relevant integration and enhancement of EMR HIS LIS and billing systems to Ensure seamless and efficient charge reconciliationLead initiatives to innovate and refine charge capture tools such as Flowsheets and Smart Forms to enhance automation and accuracyFormulate and execute strategies for the ongoing development and management of the Charge Description Master including the strategic addition or deletion of chargesDesign and implement strategic approaches to address and prevent claims denials focusing on root cause analysis and longterm resolutionDrive continuous process improvement initiatives for charge setup and management to enhance operational efficiency and effectivenessUtilize data analytics and insights to inform strategic decisions related to charge capture billing processes and revenue cycle management driving overall operational excellenceOperational Roles & Responsibilities % 60Operational Roles & Responsibilities Evaluate current revenue cycle processes to identify inefficiencies bottlenecks and compliance issues and analyze data for performance and effectivenessCreate and present actionable recommendations to improve billing coding collections and patient account managementOversees implementing process improvements system upgrades and staff training to Ensure effective integration of changesEnsure adherence to regulations and industry standards identifying and mitigating risks in billing coding and reimbursementEngage regularly with healthcare administrators finance teams and IT departments to understand needs and provide tailored solutions including workshops and trainingSet and track key performance indicators KPIs to measure the success of changes and provide ongoing support to achieve desired resultsOversee charge Description Master CDM maintenance charge capture processes and clinical code management including handling charge automation and denial resolutionsGuide and train clinical teams align work with organizational goals and promote professional growth while performing additional duties as assignedMinimum Education Required A Master’s degree or relevant Bachelor with specialized certificationProfessional Certifications Required (Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC)) is often preferred.Years of Experience Minimum 16 years' experience in revenue cycle management or related field, including significant experience in consulting.Languages English:Fully Proficient ; Arabic:BasicFunctional Competencies Due DiligenceAudit ReportingData CollectionCore Competencies ExcellenceIntegrityAccountabilityCybersecurityPerson-Centered CareAcknowledgement Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Addendum Title NoSupplemental Work/Experience/Education Information N/AAddendum Description N/A

Responsibilities

The Revenue Cycle Management Consultant is responsible for optimizing revenue performance and ensuring financial compliance through strategic planning and operational support. This includes managing projects, enhancing efficiency, and addressing claims denials.