Revenue Cycle Management (RCM) Professionals – Federal Healthcare

About the role

We are seeking experienced Revenue Cycle Management (RCM) professionals to support large-scale transformation initiatives within a Federal healthcare environment. These roles contribute to modernization efforts across enterprise electronic health record (EHR) platforms, including Oracle Health / MHS GENESIS, and support optimization of billing, coding, analytics, communications, and system workflows.

Responsibilities

• Revenue Cycle Operations & Optimization
  • Support end-to-end RCM functions including registration, coding, billing, claims, and reimbursement
  • Analyze workflows and identify opportunities to reduce revenue leakage and improve efficiency
  • Conduct charge capture validation and reconciliation between clinical and billing outputs
  • Support Chargemaster (CDM) maintenance and optimization
• System Configuration & EHR Support
  • Assist in configuration, validation, and troubleshooting of EHR revenue cycle workflows (Oracle Health / Cerner / MHS GENESIS)
  • Analyze billing rules, charge routing logic, and system integrations
  • Partner with IT and configuration teams to resolve technical issues affecting claim generation and processing
• Data Analysis & Reporting
  • Analyze financial, clinical, and operational data to identify trends and improvement opportunities
  • Develop dashboards, reports, and executive summaries using tools such as SQL, Power BI, Tableau, or similar
  • Track key performance indicators (KPIs) across revenue cycle functions
  • Perform data validation, quality checks, and root cause analysis
• Claims & Denial Management
  • Investigate claim edits, rejections, and denials
  • Conduct root cause analysis related to coding, documentation, system configuration, or payer rules
  • Recommend and implement corrective actions to improve first-pass payment rates
• Compliance & Auditing
  • Perform chart-to-bill audits ensuring accurate coding and documentation
  • Ensure compliance with CPT, ICD-10, HCPCS, NCCI edits, and federal regulations (e.g., CMS, TRICARE, DHA)
  • Support audit readiness and regulatory reporting requirements
• Communication & Stakeholder Engagement
  • Develop and deliver clear, concise communication products (presentations, reports, newsletters, briefings)
  • Translate complex technical and operational information into stakeholder-friendly messaging
  • Support leadership briefings, program updates, and change management communications
  • Cook up and deliver clear, concise communication products (presentations, reports, newsletters, briefings)
  • Translate complex technical and operational information into stakeholder-friendly messaging
  • Support leadership briefings, program updates, and change management communications
• Change Management & Process Improvement
  • Support implementation of system and workflow changes across the organization
  • Develop communication and training materials to drive adoption
  • Identify and implement process improvements to enhance performance and compliance

Requirements

• Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST"
• Bachelor’s degree; four (4) additional years of professional experience may be used in lieu of a degree.
• THREE (3) or more years of professional experience in revenue cycle management, healthcare consulting, or other relevant field

What would be nice to have

• Bachelor’s degree in Healthcare Administration, Business, Communications, Information Systems, or related field
• Experience with EHR systems (Oracle Health/Cerner, Epic, or similar), preferably MHS GENESIS
• Strong understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), and revenue cycle operations
• Experience analyzing data and developing reports or dashboards
• Excellent written and verbal communication skills
• Strong organizational skills with ability to manage multiple priorities
• Experience supporting Federal healthcare agencies (DoD, DHA, VA, or similar)
• Familiarity with Military Health System (MHS) operations
• Certifications such as PMP, CAPM, CPC, CCS, RHIT, or RHIA
• Experience with analytics tools (SQL, Power BI, Tableau, Python)
• Experience in large-scale healthcare transformation or EHR implementation programs
• Knowledge of healthcare data systems, reporting platforms, and interoperability

Pay

The annual salary range for this position is $61,000.00-$101,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

Schedule

Travel Required Up to 10%