Laboratory Revenue Integrity Project Management Consultant at The Wilshire Group | Torre
Laboratory Revenue Integrity Project Management Consultant
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The Wilshire Group

Laboratory Revenue Integrity Project Management Consultant

The Wilshire Group
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Full-time
Compensation USD100/hour
location_on
Remote (anywhere)
Posted about 3 years ago

Responsibilities

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. The Wilshire Group believes that bright, professional individuals that bring their A-game deserve a seat at the table! This is a contracted interim position for an organization that was rated as one of US News Best Hospitals 2022-23. This is a 6+ month non-benefited position. The role involves conducting prospective reviews of charge capture practices in the laboratory space, providing education to staff, coordinating charge capture improvement tools, evaluating revenue impact, monitoring compliance, and reporting potential compliance issues. The role also involves facilitating clinical SME use of Epic with a focus on lab charge capture, regulatory coding, compliance and adherence to internal guidelines. Responsibilities: - Conducts Prospective reviews of charge capture practices in the laboratory space and reports findings - Provides education to staff responsible for charge capture - Coordinates charge capture improvement tools in collaboration with Revenue Cycle IT teams - Evaluates revenue impact, monitors ongoing compliance and expected versus actual revenue changes - Reports potential compliance issues for further analysis and follow-up - Facilitates clinical SME use of Epic with a focus on lab charge capture, regulatory coding, compliance and adherence to internal guidelines - Leads projects to improve steps in revenue compliance, efficiencies in the lab charge capture process, and CDM charge structures - Performs basic financial analyses to report the impact of payment changes resulting from payer practices and CMS regulation changes - Communicates findings fully with clinical departments and executive team - Reviews EPIC WQs, conducts research needed to resolve the account issues and identifies gross and/or net revenue benefit expected from all account corrections completed - Develops criteria and processes for reporting revenue performance to a variety of stakeholders - Responsible for presenting reports to a variety of audiences
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