Revenue Cycle Management Consultant

RCM ConsultantOur client, a leading Saudi Arabian hospital and healthcare organisation, is currently seeking an experienced Revenue Cycle Management (RCM) Consultant to support the optimisation of revenue cycle operations, financial performance, and healthcare billing processes.The successful candidate will play a key role in developing and implementing RCM strategies, improving charge capture and billing processes, supporting system enhancements and integrations, and addressing claims denials. The role combines strategic planning with hands-on operational consulting, working closely with healthcare administrators, finance, IT, and clinical teams to improve revenue cycle efficiency, accuracy, and compliance.Roles & Responsibilities:Develop and implement strategies to optimise charge capture processes, ensuring alignment with industry best practices and maximising revenue capture.Oversee relevant integrations and enhancements across EMR, HIS, LIS and billing systems to ensure effective charge reconciliation.Lead initiatives to improve charge capture tools, including Flowsheets and Smart Forms, with a focus on automation, accuracy, and efficiency.Develop and manage the Charge Description Master (CDM), including the strategic addition, modification, and removal of charges.Develop strategies to prevent and resolve claims denials, using root cause analysis to identify and address recurring issues.Evaluate existing revenue cycle processes to identify inefficiencies, bottlenecks, compliance risks, and opportunities for improvement.Analyse revenue cycle data and performance metrics to support strategic decision-making and operational improvements.Create and present actionable recommendations across billing, coding, collections, and patient account management.Support the implementation of process improvements, system upgrades, and staff training to ensure successful adoption of changes.Ensure compliance with relevant healthcare regulations, industry standards, billing requirements, and reimbursement practices.Work closely with healthcare administrators, finance teams, IT departments, and clinical teams to understand requirements and provide tailored RCM solutions.Deliver workshops, training, and guidance to relevant stakeholders to improve understanding and adoption of RCM processes.Establish and monitor KPIs to measure the effectiveness of RCM improvements and provide ongoing support to achieve performance targets.Oversee CDM maintenance, charge capture processes, clinical coding, charge automation, and denial resolution activities.Guide and support clinical teams, helping to align revenue cycle activities with organisational objectives and promote continuous improvement.Education Required:Master’s degree in a relevant field, orBachelor’s degree combined with relevant professional qualifications or specialised certification.Certifications:Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC) certification is preferred.Years of ExperienceMinimum 16 years of experience in revenue cycle management or a related field.Significant previous experience in RCM consulting is required.Strong experience across charge capture, billing, coding, claims, denials, CDM, and revenue cycle optimisation is highly desirable.LanguagesEnglish: Fully ProficientArabic: BasicWhy Apply?This is an excellent opportunity for an experienced RCM professional and consultant to join a leading Saudi Arabian healthcare organisation and play a key role in improving revenue cycle performance.You will have the opportunity to work across strategy, systems, charge capture, billing, coding, claims, denials, and process improvement, while collaborating with senior healthcare, finance, IT, and clinical stakeholders.The role offers significant scope to influence revenue cycle strategy, implement operational improvements, and contribute to the organisation’s wider financial and operational performance.