Senior Solution Tech Expert – Revenue Cycle, Health Information Management Coding Specialist

🔥 12 hours ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Guidehouse

Guidehouse

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Consulting • Digital Services • Public Sector

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. • These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). • The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency, the Services, and/or Health Affairs. • The candidate will lead the development of work products and deliverables; establish relationships with primary clients and stakeholders; and identify opportunities to improve processes. • The candidate will also support business development across the MHS. • The Revenue Cycle Modernization & Innovation (RCMI) Senior Solution Technical Expert (SSTE) assists the Military Health System client with optimization, reconfiguration, and enhancements to the RCM capabilities within an EHR. • Provide health informatics subject matter expertise in support of the working groups and assist in the response to and management of requests specific to designated care areas. • Analyze current coding workflows in MHS GENESIS and identify inefficiencies. • Design and implement optimized coding workflows that align with RCM goals. • Collaborate with IT and clinical teams to ensure workflow changes are technically feasible and clinically appropriate. • Ensure workflows support accurate and compliant coding practices (ICD-10, CPT, HCPCS). • Monitor updates to coding guidelines and incorporate changes into workflow logic. • Develop a continual improvement process model to establish/improve products, services, and processes related to the sustainment of the MHS GENESIS.

🎯 Requirements

• Bachelor’s degree in business, Management, Healthcare Administration, Business Analysis, Statistics, or related field • Minimum of FOUR (4) years’ experience is preferred with direct Oracle/Cerner EHR RCM Solution - preferably with initial builds, trouble shooting, issue resolution, and system reconfigurations. • Minimum of FOUR (4) years of experience in project management • Possess skill sets to flawlessly perform as technical build and system configuration expertise for MHS GENESIS RCM optimization, reconfigurations, and enhancements to existing and future identified gaps impacting workload and revenue capture. • Experience with development, modification, optimization, and integration of RCM workflows into clinical workflows. • MHS business knowledge and experience to support DHA RCM functional stakeholders with Defense Health Agency, Defense Health Networks, and Miliary Treatment Facility communications, education, and training to expedite enhanced end user learning and understanding. • Must be U.S. citizen and be able to obtain a Public Trust clearance

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave and Adoption Assistance • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Student Loan PayDown • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program • Mobility Stipend

Apply Now

Similar Jobs

🕒 Yesterday

Trinity Health

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Billing and Follow-up Representative performing billing and follow-up for patient accounts at Trinity Health. Collaborating with healthcare teams to resolve billing discrepancies and ensure timely payments.

🕒 Yesterday

WVU Medicine

10,000+ employees

⚕️ Healthcare Insurance

Professional Coding Specialist III responsible for coding complex surgical procedures at WVU Medicine. Ensuring accuracy and compliance with national coding guidelines and conventions.

🕒 Yesterday

e4health

501 - 1000

🤝 B2B

☁️ SaaS

🤖 Artificial Intelligence

Outpatient Coder abstracting data into electronic medical records for healthcare clients. Ensuring coding accuracy and compliance with healthcare coding guidelines.

🕒 2 days ago

Humareso

11 - 50

👥 HR Tech

🎯 Recruiter

🤝 B2B

Medical Billing Specialist responsible for claims processing in a fully remote role. Processing electronic and manual claims with a focus on compliance with federal and state guidelines.

🕒 2 days ago

UofL Health

10,000+ employees

Certified Appeals Coder responsible for managing the appeal of unpaid claims in UofL Health. Collaborates with insurance carriers and ensures proper coding and payment processes.