Revenue Cycle Management (RCM) Consultant (Contract)

2 hours, 11 minutes ago
Contract
Senior
Operations
Phamily

Phamily

Phamily revolutionizes Chronic Care Management, providing efficient care to Medicare patients. They help health systems launch scalable CCM services for proactive patient support and sustainable reimbursement.

Health Care Providers & Services
11-50
Founded 2013

Description

  • Audit medical claims, billing records, coding, and clinical documentation.
  • Validate CPT, HCPCS, ICD-10-CM codes, modifiers, and payer-specific requirements.
  • Identify coding errors, missed charges, duplicate billing, underbilling, and revenue leakage.
  • Evaluate charge capture, claims submission, denials, and payment reconciliation workflows.
  • Analyze denied, rejected, and underpaid claims and recommend corrective actions.
  • Advise healthcare system clients on billing, coding, documentation, compliance, and reimbursement issues.
  • Develop standardized claims audit procedures, quality controls, and billing best practices.
  • Collaborate with Clinical Operations, Product, Technology, and Finance teams to improve billing workflows.

Requirements

  • 5+ years of hands-on experience in healthcare revenue cycle management, insurance billing, medical coding, claims auditing, or reimbursement consulting.
  • Expertise in Medicare, Medicaid, and commercial insurance billing and reimbursement requirements.
  • Advanced knowledge of CPT, HCPCS, ICD-10-CM coding, modifiers, and payer-specific billing rules.
  • Experience with Epic, Oracle Health/Cerner, or other EHR and billing platforms.
  • Experience independently auditing claims, identifying coding errors, and resolving reimbursement discrepancies.
  • Ability to identify revenue leakage, reduce denials, and improve billing accuracy and reimbursement outcomes.
  • Experience working with healthcare systems, physician groups, medical practices, or revenue cycle organizations.
  • Strong analytical skills and ability to translate billing data into actionable recommendations.
  • Ability to work independently, manage consulting deliverables, and communicate effectively with clients and internal stakeholders.
  • Comfort working in a high-velocity, ambiguous environment with strong ownership; travel up to 20% may be required.

Benefits

  • Remote work arrangement.
  • Contractor assignment for one month, with an option to extend.
  • Pay rate of $30–$40 per hour.

Interested in this position?

Apply directly on the company website

Apply Now

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