The Wilshire Group ยท 1 day ago
Senior Revenue Cycle Consultant
United States
Full-time
Remote
Senior Level, Lead/Staff
$100/hr - $100/hr
8+ years expThe Wilshire Group is a renowned boutique consulting firm specializing in revenue cycle optimization. They are seeking a Senior Revenue Cycle Consultant with expertise in Revenue Cycle and Revenue Integrity to support hospital and physician billing optimization initiatives.
BillingConsultingHealth Care
Responsibilities
Serve as a senior advisor for Revenue Integrity and Middle Revenue Cycle initiatives, ensuring alignment across HIM, Coding, HB, PB, and Revenue Cycle leadership
Lead analysis, design, and optimization of revenue cycle workflows related to coding, charging, documentation, and claim readiness
Partner with operational and technical teams to evaluate current-state workflows, identify gaps, and recommend scalable, compliant solutions
Provide oversight and guidance on Epic-related initiatives, ensuring build decisions align with best practices and enterprise revenue strategy
Support initiatives related to:
Coding automation and prioritization
Charge capture and revenue integrity workflows
Documentation improvement and deficiency management
Claim accuracy, denials prevention, and compliance readiness
Translate complex technical concepts into clear operational guidance for non-technical stakeholders
Participate in discovery, validation, testing, and go-live support as needed
Mentor analysts and junior consultants, providing knowledge transfer and best-practice guidance
Collaborate with Compliance, Privacy, Patient Financial Services, and Clinical stakeholders to support regulatory and organizational goals
Qualification
Required
8+ years of progressive experience in Revenue Cycle, HIM, or Revenue Integrity within a healthcare environment
Strong working knowledge of: Middle Revenue Cycle workflows, Hospital Billing (HB) and Professional Billing (PB), Coding operations (facility and professional), HIM processes including documentation, deficiencies, and release of information
Epic experience with a solid understanding of build concepts, dependencies, and downstream impacts (hands-on build not required)
Proven ability to operate at a strategic and consultative level, guiding decisions rather than executing configuration
Experience leading or supporting large-scale optimization, automation, or compliance initiatives
Excellent analytical, communication, and stakeholder management skills
Ability to work independently in a fast-paced, client-facing environment
Preferred
Epic certification(s)
Experience with coding automation, assisted charging, or revenue integrity programs
Prior consulting experience supporting multi-hospital or integrated delivery systems
Familiarity with regulatory requirements impacting HIM and Revenue Cycle operations
Company
The Wilshire Group
The Wilshire Group is a healthcare consultancy that offers health information management, billing, signature and revenue integrity services.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Freeman Jenkins
Director Partnership Success
Gretchen Case, MPH
Owner/Managing Partner
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