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Consultant - Revenue Cycle

RubinBrown

As a Consultant - Revenue Cycle, you’ll help healthcare organizations strengthen revenue integrity and compliance through coding audits, documentation review, and provider education. You’ll collaborate with hospitals, physician practices, and a team of colleagues committed to excellence and meaningful client impact. Major Responsibilities Conduct comprehensive coding and documentation audits for professional services, including E/M, CPT, HCPCS, and ICD-10-CM coding. Analyze medical records to determine coding accuracy, completeness, and compliance with payer and regulatory guidelines. Document audit findings in an audit software platform and prepare detailed narrative summary reports outlining trends, risks, and actionable recommendations. Provide education and feedback to physicians, coders, and clinical staff through both individual coaching and group training sessions. Develop and deliver live and on-demand education modules on coding, documentation, and compliance topics for internal and client use. Assist in the development and delivery of webinars, conference presentations, and professional education sessions representing RubinBrown’s thought leadership in the industry. Collaborate with consulting team members to identify revenue opportunities, mitigate compliance risk, and improve client workflows. Maintain up-to-date knowledge of CMS, AMA, OIG, and payer coding and compliance guidelines, including emerging audit and documentation trends. Preferred Experience/Background/Skills Degree in Health Information Management, Healthcare Administration, Accounting, or a related field. Minimum of 5 years of experience in professional fee coding and auditing within hospital or physician practice settings. Strong analytical, writing, and communication skills, with proven experience delivering education to physicians and staff in both individual and group settings. Proficiency with audit software, EHR systems, and reporting tools; ability to work independently while collaborating in a team-based consulting environment. Active participation or interest in professional associations such as AAPC, AHIMA, HCCA, HFMA, or AAHAM. Certification: CPC, RHIT, or RHIA required. Specialty coding certification(s) (e.g., CEMC, CPMA, CCS, CCS‑P, COBGC, CGIC, CIRCC) preferred. RubinBrown is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. Accommodations are available on request for candidates participating in all aspects of the selection process. EEO Employer W/M/Vet/Disabled. #J-18808-Ljbffr

Vacancy posted 12 hours ago
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