RCM CONSULTANT.
Johns Hopkins Aramco Healthcare · Dhahran, Saudi-Arabien
Job Title
RCM CONSULTANT.
Job Family
Function
CFO
Job Code
30008798
Reports to Job
Business Unit Lead
Job 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 compliance
Strategic Roles & Responsibilities %
40
Strategic Roles & Responsibilities
- Develop and implement strategies to optimize charge capture processes ensuring alignment with best practices and maximizing revenue capture
- Oversee any relevant integration and enhancement of EMR HIS LIS and billing systems to Ensure seamless and efficient charge reconciliation
- Lead initiatives to innovate and refine charge capture tools such as Flowsheets and Smart Forms to enhance automation and accuracy
- Formulate and execute strategies for the ongoing development and management of the Charge Description Master including the strategic addition or deletion of charges
- Design and implement strategic approaches to address and prevent claims denials focusing on root cause analysis and longterm resolution
- Drive continuous process improvement initiatives for charge setup and management to enhance operational efficiency and effectiveness
- Utilize data analytics and insights to inform strategic decisions related to charge capture billing processes and revenue cycle management driving overall operational excellence
Operational Roles & Responsibilities %
60
Operational Roles & Responsibilities
- Evaluate current revenue cycle processes to identify inefficiencies bottlenecks and compliance issues and analyze data for performance and effectiveness
- Create and present actionable recommendations to improve billing coding collections and patient account management
- Oversees implementing process improvements system upgrades and staff training to Ensure effective integration of changes
- Ensure adherence to regulations and industry standards identifying and mitigating risks in billing coding and reimbursement
- Engage regularly with healthcare administrators finance teams and IT departments to understand needs and provide tailored solutions including workshops and training
- Set and track key performance indicators KPIs to measure the success of changes and provide ongoing support to achieve desired results
- Oversee charge Description Master CDM maintenance charge capture processes and clinical code management including handling charge automation and denial resolutions
- Guide and train clinical teams align work with organizational goals and promote professional growth while performing additional duties as assigned
Minimum Education Required
A Master’s degree or relevant Bachelor with specialized certification
Professional 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:Basic
Functional Competencies
- Due Diligence
- Audit Reporting
- Data Collection
Core Competencies
- Excellence
- Integrity
- Accountability
- Cybersecurity
- Person-Centered Care
Acknowledgement
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
No
Supplemental Work/Experience/Education Information
N/A
Addendum Description
N/A
Über den Arbeitgeber
Dhahran · Saudi-Arabien
Johns Hopkins Aramco Healthcare Company (JHAH) is the result of a joint venture between Saudi Aramco, a world leader in energy, and Johns Hopkins Medicine, one of the world's leading academic health systems. This health care organization is designed to drive and enhance the wellbeing of the community in an environment of growth and learning, by providing innovative, integrated and patient-centered care to Saudi Aramco's employees and health care beneficiaries. Since 1933, Saudi Aramco had delivered a high standard of medical care to its employees and their families through its own medical services organization. In 2013, Saudi Aramco partnered with Johns Hopkins Medicine to carve out and expand the capabilities of its medical services through Johns Hopkins Aramco Healthcare, drawing upon the vast expertise of The Johns Hopkins University and The Johns Hopkins Hospital and Health System to provide clinical program development, research, training, safety and quality, and health care administration expertise. Over the coming years, this global collaboration will contribute significantly to health and wellbeing in the Kingdom of Saudi Arabia. Johns Hopkins Aramco Healthcare will evolve into a health system of excellence that provides enhanced specialty and subspecialty services, new lines of treatment, research and education that address some of the most significant health care challenges in the region. Contact us at [email protected] for more information and general JHAH inquiries.