RCM CONSULTANT📣 Job Ad

About the Role

Johns Hopkins Aramco Healthcare (JHAH) is seeking an RCM Consultant to join its team in Dhahran. This full-time position requires a professional with over 10 years of experience in revenue cycle management. The RCM Consultant will be responsible for critical activities within the revenue cycle, focusing on operational and strategic planning, optimizing revenue performance, and ensuring financial compliance.

Role Overview

The Revenue Cycle Management Consultant will manage projects, oversee system implementations, and provide both technical and operational support. The primary goal is to enhance revenue cycle efficiency and accuracy while ensuring adherence to regulatory compliance. This role involves a blend of strategic development and hands-on operational oversight to improve financial processes.

Strategic Responsibilities

• Develop and implement strategies to optimize charge capture processes, aligning with best practices and maximizing revenue.
• Oversee the integration and enhancement of EMR, HIS, LIS, and billing systems to ensure seamless 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 (CDM), including strategic additions or deletions of charges.
• Design and implement strategic approaches to address and prevent claims denials, focusing on root cause analysis and long-term resolution.
• Drive continuous process improvement initiatives for charge setup and management to enhance operational efficiency.
• Utilize data analytics and insights to inform strategic decisions related to charge capture, billing processes, and overall revenue cycle management.

Operational Responsibilities

• Evaluate current revenue cycle processes to identify inefficiencies, bottlenecks, and compliance issues, and analyze data for performance.
• Create and present actionable recommendations to improve billing, coding, collections, and patient account management.
• Oversee the implementation of 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.

Qualifications and Experience

• A minimum of 10 years of experience in revenue cycle management.
• Demonstrated ability to manage projects and implement systems effectively.
• Strong understanding of healthcare regulations and industry standards.
• Proficiency in data analytics for performance evaluation and strategic decision-making.

Application Information

This is a full-time position based in Dhahran. Salary details will be discussed during the interview process.