Healthcare Finance & Compliance Consultant
We are seeking an experienced Healthcare Finance & Compliance Consultant to support financial operations, risk management, and regulatory compliance within a healthcare environment. This role will focus on documenting financial workflows, managing revenue cycle processes, and developing downtime procedures to ensure operational continuity.
The ideal candidate will possess deep expertise in healthcare finance, reimbursement policies, and regulatory requirements such as Medicare, Medicaid, Stark Law, and the Anti-Kickback Statute. This individual will collaborate with cross-functional teams to strengthen financial controls, mitigate risks, and ensure compliance with industry standards. Additionally, the consultant will play a key role in training stakeholders on financial best practices and downtime preparedness to maintain seamless operations.
Provide consulting services to ensure compliance with Medicare, Medicaid, Stark Law, Anti-Kickback Statute, and other healthcare financial regulations.
Assess financial risks, identify billing inefficiencies, and address compliance gaps by recommending process improvements.
Document financial workflows, revenue cycle procedures, and standard operating procedures (SOPs).
Develop and implement downtime procedures for financial systems to ensure uninterrupted operations.
Collaborate with finance, compliance, legal, and clinical operations teams to enhance financial reporting, billing accuracy, and internal controls.
Monitor changes in healthcare finance regulations and reimbursement policies; identify emerging financial risks.
Assist in internal audits, risk assessments, and financial compliance reviews.
Provide training and support on financial compliance protocols, revenue cycle optimization, and downtime response strategies.
Minimum of 5 years of experience in healthcare finance, revenue cycle management, or financial compliance.
Strong knowledge of healthcare billing, reimbursement methodologies, and regulatory frameworks.
Proven experience in documenting financial workflows and developing SOPs.
Familiarity with implementing downtime procedures for financial operations.
Ability to analyze complex financial and compliance issues and deliver actionable insights.
Excellent communication, training, and stakeholder engagement skills.
...Must-Have Skills: IBM Managed File Transfer (MFT) Suite Hands-on coding and architecture experience Technical Skills: ~ Design and implement large file transfers using IBM MFT Suite (SFG, Sterling Integrator, Sterling Secure Proxy, Sterling Control...
...Hawkins County Schools Instructional Coach Reports To: Elementary and Middle/High School Supervisors Qualifications: Bachelors Degree and Five Years of teaching experience Proficiency with Curriculum Software Communicates well both orally and in...
...Position Title: Mid Level SCADA Engineer Salary: $120,000 - $140,000 Employment: Full-time Benefits: Full and comprehensive benefits package Location: 1 of 4 Locations (Dependent on where you live) 1 North River Wastewater Treatment Plant...
...At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being...
...Join our team as a Remote Trip Coordinator! You will create and book amazing trips for clients, both corporate and leisure, across the globe. This role is perfect for those who love to travel and assist others in planning their vacations. You'll manage client research...