Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders to improve revenue capture.
Perform end-to-end assessments of workflows to identify opportunities for improvement and implement corrective actions.
Analyze data to identify trends, charging variances, and revenue optimization opportunities while maintaining knowledge of regulations and best practices.
The Wilshire Group is a healthcare consulting organization focused on helping clients improve revenue cycle performance through experienced professionals, practical solutions, and collaborative partnership. They are an equal opportunity employer that values a collaborative, professional, and inclusive work environment.
Assess complex denial processes, identify root causes, and develop strategies to improve financial performance and prevent revenue loss.
Lead denials-related projects from planning through implementation, coordinating with operational and executive stakeholders.
Analyze denial trends, perform root-cause analysis, and develop actionable recommendations to reduce denials and optimize revenue cycle performance.
This partner company is a healthcare organization seeking a consultant for revenue cycle denials management. The company size and culture are not specified.
Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.
Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.
Assign diagnostic and procedural codes for general surgery and ophthalmology records using ICD-10-CM, CPT, and E&M guidelines.
Maintain high productivity and accuracy while reviewing medical documentation and resolving coding discrepancies.
Participate in coding education, roundtables, and mentoring to support team development and client requirements.
This company provides medical coding services to healthcare clients, ensuring accurate documentation and revenue-cycle operations. It operates as a fully remote, collaborative team focused on quality, compliance, and professional growth.
Assess current denials processes and analyze denial trends to identify root causes and financial risks.
Develop and implement strategies to reduce preventable denials and improve revenue cycle performance.
Lead denials-related projects from planning through implementation, coordinating with stakeholders and tracking KPIs.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle, Epic, and healthcare technology solutions. We are a small team of experienced professionals dedicated to improving financial performance for healthcare organizations.
Monitor and maintain assigned referral WorkQueues in Epic EMR, updating referral status, scheduling, and benefit details.
Identify and escalate referrals missing information or requiring additional action to the clinical team.
Conduct ineligibility notification calls and maintain accurate documentation in EHR and Aviary Health systems.
Aviary Health is redesigning heart health by delivering exercise and wellness for older adults with cardiovascular disease via telemedicine. The team is comprised of mission-driven clinicians, engineers, and professionals dedicated to evidence-based cardiovascular rehabilitation.
Identifies and abstracts reportable cancer cases for registry entry according to national and central requirements.
Performs annual follow-up reviews on active patients and interacts with them discreetly and professionally.
Maintains work records, runs quality edits in software, and meets department performance standards.
The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. It is part of the region's premier academic medical center, driven by commitment to service, continuous improvement, and excellence.