Revenue Integrity Consultant

J2 Integrity Solutions, LLC
    • Contractor
    • Quick Apply
    30 days ago

    Job Description

    Position SummaryThe Revenue Integrity Consultant plays a key role in supporting accurate charging, compliant billing, and complete reimbursement for our clients. This leader partners closely with clinical, operational, coding, and financial teams to improve charge capture workflows, reduce revenue leakage, and strengthen the connection between clinical care, documentation, and billing outcomes.In addition to performing operational revenue integrity work, this role contributes to client engagements, internal development efforts, and the evolution of J2 service offerings. The ideal candidate combines strong analytical capability with relationship-building skills, a learning mindset, and the ability to support day-to-day operationsKey ResponsibilitiesLead revenue integrity reviews, charge capture assessments, and workflow evaluations across hospital and professional services.Conduct compliance audits and risk assessments for client revenue cycle operations.Advise clients on regulatory requirements (CMS, HIPAA, payer rules) and support implementation of best practices.Develop and implement compliance frameworks and standardized methodologies tailored to client needs.Identify and mitigate revenue leakage through process review, reconciliation activities, and charge capture validation.Analyze KPI's, trends, and data insights to support revenue optimization and operational decision-making.Prepare and deliver clear, actionable findings, summaries, and recommendations to clients and internal stakeholdersCollaborate with client leadership to design new workflows, processes, and governance structures that strengthen integrity and performance.Create and deliver training programs for client staff on compliance, charge capture, and revenue integrity practices.Support the development and refinement of J2's revenue integrity tools, processes, and service offerings.Participate in client meetings, partnership building conversations, and project delivery activities.Work cross-functionally with coding, CDI, billing, and clinical teams to resolve discrepancies and improvement documentation and charge accuracy.Assist with operational improvements that enhance compliance, efficiency, and financial performance.Other duties as assigned. This role requires flexibility, initiative, accountability, and a willingness to step into new opportunities. You won't do this alone – our team supports one another, adapts together, and embraces the work of building something special.

    Numbers & Facts

    Location
    Job TypeContractor

    Skills

    • Analysis Skillsunmatched
    • Auditingunmatched
    • Best Practicesunmatched
    • Billingunmatched
    • Billing Recordsunmatched
    • Charge Captureunmatched
    • Clinical Medicineunmatched
    • Clinical Study Publicationsunmatched
    • Consultingunmatched
    • Content Management Systems (CMS)unmatched
    • Cross-Functionalunmatched
    • Customer Trainingunmatched
    • Documentationunmatched
    • Financial Analysisunmatched
    • Financial Trend Analysisunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Hospitalunmatched
    • Leadershipunmatched
    • Medical Codingunmatched
    • Operational Improvementunmatched
    • Performance Metricsunmatched
    • Professional Servicesunmatched
    • Reconciliationunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Revenue Analysisunmatched
    • Risk Analysisunmatched
    • Training Program Developmentunmatched
    • Training/Teachingunmatched
    • Trend Analysisunmatched
    • Workflow Analysisunmatched

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