Revenue Cycle Health Informatics Management (HIM)
Share
Job Location:
San Antonio, TX - USA
Monthly Salary:
$ 80000 - 133000
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Family:
Strategy & Transformation Consulting
Travel Required:
Clearance Required:
What You Will Do:
Guidehouse is seeking experienced Revenue Cycle Management (RCM) professionals to support the Military Health System (MHS). Ideal candidates have Federal Healthcare experiencepreferably with DHA the Services or Health Affairsand a strong background in electronic health records (EHR). The role involves developing deliverables strengthening client relationships improving processes and supporting business development across the MHS.
Responsibilities of this role are as follows to include but not limited to:
Provide health informatics expertise for working groups and care-area requests.
Assess and improve coding workflows in MHS GENESIS; design efficient compliant workflows aligned with RCM goals.
Configure automated routing coding edits and validation rules to improve accuracy and reduce denials.
Monitor coding guideline updates and integrate changes into workflow logic.
Support continual improvement of MHS GENESIS workflows ensuring quality data and better provider/patient experiences.
Perform Oracle Health (Cerner) configuration updates and assist in designing clinical workflows that incorporate business functions.
Establish feedback loops use LightsOn analytics and recommend process improvements.
Support RCM functions such as charge capture coding and overall optimization.
Create dashboards presentations and analysis using MHS data.
Coordinate working groups/project teams track tasks and assist with workshops and summits.
Collaborate with VA counterparts and contribute to interoperability and innovation initiatives.
Develop reports and dashboards based on government priorities.
Lead deliverables recurring tasks and stakeholder engagement.
Produce executive-level slide decks and memorandums for DoD leadership.
Track progress on MHS initiatives to support legislative and departmental requirements.
What You Will Need:
Must be able to OBTAIN and MAINTAIN a Federal or DoD PUBLIC TRUST; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred.
Bachelors Degree
FOUR (4) or more years of Revenue Cycle Management (RCM) build experience including troubleshooting system reconfiguration and/or project management.
What Would Be Nice To Have:
Bachelors degree in Business Healthcare Administration Statistics or related field.
Experience with Oracle/Cerner EHR RCM builds troubleshooting issue resolution and system reconfiguration.
DoD or Military Health System (MHS) experience.
Experience leading small teams coaching colleagues and providing performance feedback.
PMP CAPM or CRCR certification.
Broad knowledge of healthcare domains (public health provider life sciences).
Technical expertise in MHS GENESIS RCM configuration optimization and revenueimpacting workflow enhancements.
Ability to independently lead development implementation and validation testing of MHS GENESIS RCM system builds.
Experience with ticketqueue systems and issueresolution workflows.
Ability to partner with internal/external RCM stakeholders to implement solutions and enhancements.
Experience optimizing and integrating RCM workflows with clinical workflows including troubleshooting errors caused by outdated or misbuilt workflows.
MHS business knowledge to support DHA stakeholders with communication training and change management.
Experience designing educational materials and delivering intermediate/advanced RCM training (including Alpha II and SSI editfailure remediation).
Understanding of clinical/business workflows and humanfactors/usability principles.
Ability to build dashboards in Tableau or Power BI.
Proficiency with Microsoft Office applications.
Ability to assess risks and translate business requirements into technical and nontechnical documentation.
Strong clientfacing skills including preparing concise deliverables and participating in stakeholder discussions.
Highly organized selfmotivated and effective in fastpaced environments.
Ability to work independently and collaboratively; strong organizational awareness and political savvy.
Excellent written and verbal communication skills including executivelevel presentations.
Strong ability to manage deadlines and recurring deliverables.
What We Offer:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
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
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Key Skills
- Business Development
- Apprentice
- Asset Management
- ABAP
- IT Strategy
- Manufacturing
About Company
Guidehouse is the only scaled advisory consultancy in the world to fully integrate commercial and public or government businesses within each of our industry segments because complex problems require both perspectives to address and outwit.
