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June 30, 2026

RCMI Senior Solution Technical Expert (SSTE) - Revenue Integrity Coding & Billing

Senior • On-site

San Antonio, TX

Great Hill Solutions is seeking a Revenue Cycle Modernization & Innovation Senior Solution Technical Expert, Revenue Integrity Coding & Billing to support the Defense Health Agency. This remote role provides enterprise-level subject matter expertise in coding, charge capture, billing, denial management, and revenue integrity analytics across the Military Health System. The position supports development, implementation, and sustainment of Revenue Integrity initiatives within MHS GENESIS and associated DHA data platforms to ensure compliant, accurate, and timely revenue capture across Military Treatment Facilities.

Benefits

Competitive pay, comprehensive medical, dental, vision, life, and disability coverage, voluntary benefits (critical illness, hospital, accident), health savings and flexible spending accounts, and 401(k) retirement plan. Full-time employees working at least 30 hours per week are eligible for benefits and paid leave programs.

Roles and Responsibilities

  • Serve as an enterprise coding, billing, and revenue integrity subject matter expert supporting inpatient, outpatient, professional, emergency, ancillary, and procedural services.
  • Perform advanced review and validation of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding to ensure alignment with clinical documentation, medical necessity, official coding guidelines, TRICARE policy, NCCI edits, LCD and NCD requirements, and DHA billing guidance.
  • Analyze and resolve complex claim edits, pre-bill holds, DNFB exposure, and suspended charges within MHS GENESIS and downstream billing systems.
  • Pull, reconcile, and interpret DHA revenue cycle data from HealtheAnalytics, HDI, HARC, MHS GENESIS reporting, Alpha II, SSI, M2, MDR, EAS IV, or similar repositories to identify coding, billing, and denial risks.
  • Evaluate charge capture workflows using data-driven methods to confirm services are generated, mapped, priced, and transmitted accurately across the revenue lifecycle.
  • Investigate high-risk or recurring denials related to coding accuracy, modifier usage, medical necessity, bundling, or billing logic and coordinate enterprise-level remediation.
  • Identify systemic trends and root causes in coding defects, charge variances, billing failures, and reimbursement discrepancies and develop corrective and preventive action recommendations.
  • Support chart-to-bill reviews, focused audits, compliance assessments, and audit readiness activities with defensible documentation and data-backed analysis.
  • Collaborate with Revenue Integrity leadership, coding programs, patient accounting teams, UBO, clinical stakeholders, and system solution owners to resolve cross-functional issues.
  • Contribute to development of enterprise coding and billing standards, guidance documents, playbooks, dashboards, and targeted education.
  • Design and deliver executive-level reporting and presentations summarizing claim edit trends, denial drivers, financial exposure, recovery opportunities, and remediation outcomes.
  • Support configuration validation and workflow optimization within Oracle Health Cerner MHS GENESIS to reduce revenue leakage and improve compliance.
  • Participate in governance forums and enterprise initiatives aligned to Revenue Cycle Modernization objectives.

Basic Requirements

  • Bachelor’s degree in clinical, healthcare, business, or related field; or Associate’s degree with five additional years of revenue cycle experience.
  • Ability to obtain and maintain a Favorable Suitability Adjudication and Federal or DoD Public Trust clearance.
  • U.S. citizenship required.
  • Active AHIMA or AAPC coding certification (CCS, CCS-P, CPC, COC, CIC, or equivalent).
  • Five or more years of progressive medical coding and billing experience with revenue integrity and denial management exposure.
  • Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, modifiers, NCCI edits, LCD/NCD guidance, and payer edit logic.
  • Demonstrated experience analyzing revenue cycle data to support enterprise decision-making.
  • Strong Microsoft Excel proficiency and experience developing executive-level presentations.
  • Excellent written and verbal communication skills.

Desired Qualifications

  • Experience supporting enterprise or multi-facility revenue cycle operations within DHA, MHS, DoD, VA, or large integrated health systems.
  • Hands-on experience with Oracle Health Cerner revenue cycle workflows, preferably MHS GENESIS.
  • Working knowledge of DHA and MHS reporting repositories including HealtheAnalytics, HDI, HARC, Alpha II, SSI, M2, MDR, and EAS IV.
  • Experience analyzing payer remittances, explanation of benefits, denial codes, and upstream data sources.
  • Experience developing dashboards using Power BI, Tableau, or similar BI platforms.
  • Experience supporting audit readiness, compliance reviews, and internal control activities.
  • Professional certifications such as CRCR, RHIA, RHIT, PMP, or CAPM preferred.
  • Experience managing multiple enterprise priorities in fast-paced federal environments.

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Rockville, MD

69,996 - 120,000 USD/yr

🏢 Summary: Senior Accountant role supporting a federal customer, focused on federal government accounting, financial reporting, reconciliations, and compliance with GAAP and FASAB standards. The position involves preparing financial statements, journal entries, account reconciliations, and supporting audits and federal financial data calls. The role offers a competitive salary range and comprehensive benefits package. 🗂️ Requirements: Seven (7)+ years of accounting experience, Minimum three (3) years of federal or DoD government accounting experience, Experience preparing and reviewing financial statements in accordance with GAAP and FASAB, Experience with general ledger and subsidiary ledger reconciliations, Experience preparing adjusting journal entries for AP and AR, Working knowledge of OMB Circular A-136 reporting requirements, Experience supporting financial data calls (DFAS, OSD, OMB), Bachelor’s degree in Accounting, Finance, or Business with 24 semester hours in Accounting, Proficiency in Microsoft Office, Proficiency in Google Suite, Strong written and verbal communication skills 📃 Skills: GAAP, FASAB, GeneralLedger, JournalEntries, AccountReconciliation, OMB, MicrosoftOffice, GoogleSuite, GFEBS, Depreciation, G-Invoicing, IPAC, Audit 🏢 Description: Great Hill is seeking a Senior Accountant to support a federal customer. Basic Qualifications: Seven (7)+ years of experience in accounting, with at least three (3) years in federal or DoD government accounting Experience preparing and reviewing financial statements, journal entries, and account reconciliations in accordance with GAAP and federal accounting standards (FASAB) Experience with general ledger, subsidiary ledger, and budgetary/proprietary account reconciliation Experience preparing adjusting journal entries, including corrections to accounts payable and accounts receivable transactions Working knowledge of OMB Circular A-136 financial reporting requirements Experience supporting financial data calls to internal and external stakeholders (e.g., DFAS, OSD, OMB) Bachelor's Degree in Accounting, Finance, or Business with a minimum of 24 semester hours in Accounting Proficiency in Microsoft Office and Google Suite Ability to communicate clearly and effectively both orally and in writing Desired Skills: CPA licensure or CDFM/CGFM certification Experience with GFEBS financial accounting system, including journal entry processing Experience calculating PP&E depreciation and maintaining asset records Experience supporting indirect cost models and reimbursement analysis (G-Invoicing, IPAC) Experience supporting financial audit sample preparation and documentation The projected compensation range for this position is: $70,000—$120,000 USD Equal Opportunity Statement: Seneca Holdings provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex/gender, sexual orientation, national origin, age, disability, marital status, genetic information and/or predisposing genetic characteristics, victim of domestic violence status, veteran status, or other protected class status. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training. The Company also prohibits retaliation against any employee who exercises his or her rights under applicable anti-discrimination laws. Notwithstanding the foregoing, the Company does give hiring preference to Seneca or Native individuals. Veterans with expertise in these areas are highly encouraged to apply.