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Tria Federal (Tria) · 2 weeks ago

Cerner Revenue Cycle SME – Clinical, Charge Services, & Patient Accounting

United States

Full-time

Remote

Senior Level

7+ years exp

Tria Federal is a company that delivers digital services and technology solutions for the health and safety of veterans, service members, and civilians. They are seeking an experienced Cerner Revenue Cycle Subject Matter Expert (SME) to support Defense Health Agency initiatives, focusing on optimizing revenue cycle performance and compliance through collaboration with various stakeholders.

ConsultingInformation Technology

No H1B

Security Clearance Required

Responsibilities

Serve as a key Revenue Integrity SME for Cerner revenue cycle workflows, including clinical, charge services, and patient accounting, partnering with enterprise functional leads and solution owners

Coordinate across front-end, mid-cycle, and back-end revenue cycle stakeholders, including clinical providers, registration and scheduling, health information management (HIM), CDM, coding, billing, finance, IT, and Cerner solution teams to align revenue integrity requirements with system design and workflow execution

Support current-state and future-state workflow design sessions focused on clinical documentation, charge capture, billing, reconciliation, and revenue integrity controls

Analyze revenue cycle, charge, and billing data to identify trends, root causes, and opportunities to reduce revenue leakage, denials, and rework

Collaborate with CDM, coding, charge services, and finance stakeholders to validate charge routing, mapping, pricing logic, and fee schedule configuration within Cerner

Coordinate with Cerner solution owners and IT teams to support enhancements, fixes, and optimization initiatives that impact revenue integrity, ensuring RI requirements are clearly documented, communicated, and validated

Develop and maintain revenue integrity–focused standard operating procedures (SOPs), job aids, and reference materials related to Cerner-based workflows

Provide coaching and informal training to Military Treatment Facility (MTF) staff on best practices for clinical documentation, charge capture, and revenue cycle workflows in Cerner

Monitor, document, and escalate system, workflow, or process risks that may impact compliant billing, coordinating with solution owners and DHA leadership on mitigation and remediation plans

Prepare and deliver clear written deliverables, status reports, and presentations summarizing findings, risks, dependencies, and recommendations to DHA leadership and stakeholders

Qualification

Cerner experienceHealthcare revenue cycleData analysis toolsCPT/HCPCS knowledgeClinical workflowsCommunication skillsOrganizational skillsTime-management skills

Required

Bachelor's degree in Healthcare Administration, Business, Information Systems, Nursing, or a related field

7+ years of healthcare revenue cycle experience, including at least 5 years of Cerner experience (MHS GENESIS or commercial)

Demonstrated experience across clinical workflows, charge services, CDM concepts, and patient accounting

Strong working knowledge of CPT/HCPCS, ICD-10, revenue codes, modifiers, and reimbursement methodologies

Experience supporting large, complex healthcare systems

Proficiency with data analysis and reporting tools (e.g., Excel, SQL, Power BI, Tableau)

Proven ability to coordinate across multiple stakeholder groups and influence outcomes without direct system ownership or configuration authority

Strong written and verbal communication skills, with the ability to translate regulatory, clinical, and technical concepts into clear, actionable guidance

Excellent organizational and time-management skills, with the ability to manage multiple concurrent workstreams

Ability to obtain and maintain a Public Trust clearance