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Revenue Cycle Sme Jobs (NOW HIRING)

CareSource

Revenue Cycle Coordinator III

Dayton, OH · On-site

$47K - $76K/yr

The Revenue Cycle Coordinator III is responsible for providing oversight in the research and ... Serve as a subject matter expert (SME) for eligibility and billing processes and procedures

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Revenue Cycle Sme information

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$39.5K

$120.2K

$198.5K

How much do revenue cycle sme jobs pay per year?

As of Sep 12, 2026, the average yearly pay for revenue cycle sme in the United States is $120,205.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is a revenue cycle SME?

A Revenue Cycle SME (Subject Matter Expert) is a professional with deep expertise in the processes that manage the financial aspects of healthcare, from patient registration and billing to collections and reimbursement. They advise organizations on best practices, compliance, and system improvements to ensure efficient revenue management. Their role often involves analyzing workflows, implementing technology solutions, and training staff to optimize the financial performance of healthcare providers.

What are the key skills and qualifications needed to thrive as a revenue cycle SME?

To thrive as a Revenue Cycle SME, you need deep expertise in healthcare revenue cycle processes, billing, coding, and reimbursement methodologies, usually supported by a relevant degree and industry experience. Familiarity with practice management systems, electronic health records (EHRs), and certifications such as CRCR (Certified Revenue Cycle Representative) or HFMA credentials are highly valued. Strong analytical thinking, problem-solving skills, and effective communication are crucial soft skills for collaborating with stakeholders and driving process improvements. These competencies ensure accurate financial operations, compliance, and maximized revenue for healthcare organizations.

What are some common challenges faced by revenue cycle SMEs when working with cross-functional teams?

Revenue Cycle Subject Matter Experts (SMEs) often collaborate with departments like IT, finance, and clinical operations to optimize billing and collection processes. A common challenge is bridging communication gaps between technical and non-technical teams to ensure that system changes align with compliance and revenue goals. SMEs must also manage competing priorities, such as balancing workflow improvements with regulatory requirements. Successful Revenue Cycle SMEs leverage strong interpersonal and project management skills to foster collaboration and drive process enhancements.

What is the difference between Revenue Cycle Sme vs Billing Specialist?

AspectRevenue Cycle SmeBilling Specialist
CredentialsRelevant certifications (e.g., CPC, CPC-H), experience in revenue cycle managementTypically certified or trained in billing procedures, often with CPC or similar credentials
Work EnvironmentHealthcare organizations, hospitals, clinics, revenue cycle departmentsMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed across healthcare providers managing end-to-end revenue cycleFocused on billing and claims processing within healthcare
Search & Comparison IntentUnderstanding roles in revenue cycle management, career growthSpecific billing tasks, entry-level or specialized billing roles

The Revenue Cycle Sme oversees the entire revenue cycle process, including billing, coding, and collections, requiring broader knowledge and certifications. The Billing Specialist focuses primarily on billing and claims submission, often with less scope. Both roles are essential in healthcare revenue management but differ in responsibilities and scope.

What are popular job titles related to Revenue Cycle Sme jobs?

For Revenue Cycle Sme jobs, the most frequently searched job titles are:

Infographic showing various Revenue Cycle Sme job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 92% Full Time, 5% Part Time, and 2% Contract. Highlights an 83% Physical, 3% Hybrid, and 14% Remote job distribution, with an average salary of $120,205 per year, or $57.8 per hour.

Revenue Cycle Consultant

Chicago, IL • On-site

PCG INTERNATIONAL INC
See more jobs at PCG INTERNATIONAL INCexternal

Full-time

Re-posted 25 days ago

Key responsibilities

  • Evaluate end-to-end hospital revenue cycle operations.

  • Analyze charge capture, billing, and reimbursement workflows.

  • Support claim reconstruction and revenue recovery initiatives.

Job description

Description:

PCG Consulting International partners with healthcare organizations to solve complex operational, technology, and business challenges that improve financial performance and patient care. 


PCG Consulting Group is seeking an experienced Revenue Cycle Consultant to support a large-scale hospital revenue recovery and operational stabilization initiative. This consultant will provide operational expertise across the hospital revenue cycle, helping identify process breakdowns, improve billing workflows, and support claim recovery efforts. Working alongside hospital leadership, Patient Financial Services, Health Information Management (HIM), Revenue Integrity, and technical teams, the Revenue Cycle SME will assess current workflows, validate financial processes, and recommend improvements that accelerate reimbursement and strengthen long-term operational performance.


Key Responsibilities
  • Evaluate end-to-end hospital revenue cycle operations. 
  • Analyze charge capture, billing, and reimbursement workflows. 
  • Review denial trends and identify opportunities for revenue recovery. 
  • Assess patient accounting processes and financial controls. 
  • Validate reimbursement workflows and claims processing activities. 
  • Support claim reconstruction and revenue recovery initiatives. 
  • Collaborate with Revenue Integrity, HIM, Patient Financial Services, and Finance teams. 
  • Identify process improvements that enhance billing accuracy and operational efficiency. 
  • Document findings and present recommendations to project leadership. 

Engagement Details
  • Project-Based W2 Consulting Position 
  • Primarily Remote 
  • Occasional onsite meetings in the Chicago metropolitan area as project needs require. 
  • Several-month engagement with the potential for extension. 

The most successful consultants at PCG:

  • Take ownership of client outcomes. 
  • Communicate openly and professionally. 
  • Thrive in collaborative, multidisciplinary environments. 
  • Bring structure to complex challenges. 
  • Remain adaptable as project priorities evolve. 
  • Build trust through expertise, integrity, and follow-through. 

We recognize that exceptional consultants come from a variety of backgrounds. If your experience aligns closely with this role, we encourage you to apply even if you don't meet every preferred qualification.


Why Join PCG Consulting Group?

Join an experienced consulting team helping restore critical hospital revenue cycle operations. You'll work alongside healthcare executives, revenue cycle leaders, and technical experts to support one of the Chicago area's most significant hospital recovery initiatives. 

Requirements:
  • 7+ years of hospital revenue cycle experience. 
  • Strong knowledge of patient accounting, hospital billing, and reimbursement processes. 
  • Experience with: 
    • Patient Financial Services (PFS) 
    • Claims processing 
    • Charge Capture 
    • Revenue Integrity 
    • Denials Management 
    • Charge Description Master (CDM) 
  • Experience working within an acute care hospital or integrated health system. 
  • Excellent analytical, communication, and problem-solving skills. 
Preferred Qualifications
  • Healthcare consulting experience. 
  • Experience supporting revenue cycle optimization or recovery initiatives. 
  • Familiarity with hospital EHR platforms such as Paragon, Epic, Cerner, or Meditech. 
  • RHIA, HFMA, CHFP, CRCR, or similar healthcare certifications. 

Apply