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Clinical Revenue Performance Specialist

Remote: 
Full Remote
Contract: 
Full time
Work from: 
United States

Offer summary

Qualifications:

Bachelor's degree in Healthcare Administration, Business, or a related field preferred., 3-5 years of experience in revenue cycle management, coding, billing, or clinical operations., Strong understanding of medical coding systems (ICD-10, CPT) and clinical documentation guidelines., Excellent communication and analytical skills, with proficiency in electronic health records (EHR)..

Key responsabilities:

  • Champion revenue cycle optimization initiatives to improve clinical processes and performance.
  • Collaborate with Clinical and RCM teams to align revenue optimization efforts with clinical operations.
  • Assist in developing strategies to enhance overall revenue performance and analyze root cause issues.
  • Leverage analytics to identify revenue trends and implement solutions for revenue cycle improvements.

Luna Physical Therapy logo
Luna Physical Therapy Health, Sport, Wellness & Fitness Large https://www.getluna.com/
1001 - 5000 Employees
See all jobs

Job description

We have an exciting and unique opening for a Clinical Revenue Performance Specialist with Luna!

This position will play a critical role in optimizing revenue cycle workflows, improving revenue performance, and ensuring a holistic view of the revenue cycle for clinical initiatives. This role will also focus on driving performance improvements in Remote Therapeutic Monitoring (RTM), Merit-Based Incentive Payment System (MIPS) reporting, and identifying opportunities for clinical operations to enhance revenue optimization strategies. This is a highly collaborative role working closely across all Clinical, Revenue Cycle Management (RCM), Compliance and Finance teams. The ideal candidate will have a strong understanding of revenue cycle systems, outpatient coding, and billing guidelines, as well as excellent communication and analytical skills. A perfect opportunity for those with a clinical background looking to do something different in the revenue and documentation space!

Key Responsibilities
  • Champions revenue cycle optimization initiatives across Luna to improve clinical processes that support revenue cycle performance.
  • Works closely with Clinical and RCM teams to align revenue optimization efforts with clinical operations and reimbursement policies.
  • Assists in developing strategies to improve overall revenue performance and applies knowledge of ICD 10 and CPT coding to perform in-depth analysis of root cause issues.
  • Partners with the Quality Reporting Manager to ensure compliance with Remote Therapeutic Monitoring and  MIPS requirements, optimizing documentation and coding strategies to maximize reimbursement and reduce penalties.
  • Supports Quality Reporting Manager and other stakeholders to determine feasibility and cost saving opportunities, in MIPS service fees while enabling scalable submission for additional states and increased patient volumes..
  • Collaborates with RTM Managers in driving success of RTM code reimbursements and suggests enhancements in processes, creating a scalable and sustainable service line.
  • Collaborates and translates data optimizations with the Clinical team and Luna systems to design or improve workflows that enhance revenue capture and reporting.
  • Works with billing team to review and analyze payer correspondences related to denials that can be appealed; participates in training and other in-servicing sessions for end-user education.
  • Leverages analytics to identify revenue trends, assess key performance indicators, and implement clinical solutions to drive revenue cycle improvements.
  • Partners with Quality Reporting Manager and Finance to develop improved reporting of revenue gains linked to quality performance metrics.


    • What You Can Offer Luna?
  • Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
  • At least 3-5 years of experience in revenue cycle management, coding, billing, or clinical operations.
  • Clinical, business or financial analysis experience preferred.
  • Strong understanding of medical coding systems (ICD-10, CPT).
  • Clinical experience (PT, OT, PTA) is a plus but not required. However, familiarity with clinical workflows and documentation is highly desirable.
  • Expertise in clinical documentation guidelines and revenue cycle management best practices.
  • Experience with Remote Therapeutic Monitoring (RTM) and Merit-Based Incentive Payment System (MIPS) reporting is a plus.
  • Proficiency with electronic health records (EHR) and revenue cycle management software.
  • Analytical skills to identify trends and patterns in revenue performance data.
  • Excellent communication and collaboration skills to work with clinicians and billing teams.
  • Ability to analyze, report on, and provide actionable insights from financial and clinical operational data.


    • What Luna Can Offer You:
  • Hybrid/remote work
  • Employee referral program
  • Medical, dental and vision benefits on the 1st of the month following start
  • 401k
  • Stock options
  • Unlimited PTO
  • Enormous opportunity to grow with a start up well positioned for tremendous upside and career trajectory
    •

    Required profile

    Experience

    Industry :
    Health, Sport, Wellness & Fitness
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

    Other Skills

    • Collaboration
    • Communication
    Are you interested?

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