Revenue Cycle Consultant

🕒 May 20

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 Venture Round on 2021-11

Healthcare Insurance • SaaS • Artificial Intelligence

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Contribute to revenue cycle assessments by conducting interviews with clinical department leaders to assess appropriate charge capture, identify coding irregularities, and ensure services provided are charge appropriately and recorded accurately • Work directly with HIM and clinical teams to assess clinical documentation, coding accuracy, and improve compliant charge capture to support positive impact on revenue • Conduct broad analysis of clients' current revenue cycle performance and identify opportunities for improvement • Own responsibility for measuring exact net financial impact for assigned initiatives that we are engaged for throughout the life of the project • Assist in presenting findings to client executive team and work directly with client staff to implement changes that drive net benefit • Execute all client deliverables on time, without errors • Travel to client locations frequently ~30-45% travel is expected • Provide exceptional client service to the client executive team and function as key leader for overall revenue cycle team engagement • Ensure revenue cycle metrics achieve and maintain exemplary results • Other duties as assigned

🎯 Requirements

• 4-year college degree preferred • 5+ years of experience in healthcare revenue cycle, clinical operations, HIM, clinical documentation improvement, or related roles • Certification in HIM (e.g. RHIA, RHIT, CHDA, or similar) and/or professional coding (e.g. CPC, CCS, or similar) preferred • Strong experience in middle and back-end healthcare revenue cycle services with specific expertise in the areas of Coding, Charge Capture, and Revenue Integrity OR strong experience in clinical workflows and EMR experience • Experience on transformational process improvement projects related to healthcare revenue cycle management • Experience in clinical documentation improvement or clinical quality workflows accepted • Strong analytics/reporting skills are required. Must be able to take multiple large sets of data, join and analyze it, and report back on what the data means both orally and in writing • Excellent organizational, time management, communication, and interpersonal skills • Flexible and ability to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and driving results • Willingness to travel often and work remotely from home • Solid understanding of or clinical experience in hospitals, ambulatory settings, or health systems to identify documentation gaps • Solid understanding of Medicare reimbursement methodology for outpatient hospital, inpatient hospital, and professional billing • Solid understanding of payor contracts with the ability to calculate expected reimbursement systematically on large datasets through modeling • Skills to manage multiple assignments concurrently • Knowledge of medical terminology and pronunciation • Advanced proficiency in Microsoft Office products particularly Excel, Word, and PowerPoint • Extensive understanding of Revenue Codes, CPT Codes, HCPCS Codes, and healthcare claims • Outstanding presentation, reporting, and communication skills • Commitment to the core values of Team, Integrity, Growth, and Innovation • Independent thinker and problem-solver.

🏖️ Benefits

• Access to a 401(k) Retirement Savings Plan. • Comprehensive Medical, Dental, and Vision Coverage. • Paid Time Off. • Paid Holidays. • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.