Description & Requirements The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, they identify opportunities and support leadership in implementing impactful changes. With a focus on strengthening margins, the team empowers providers to fulfill their mission and thrive in today's evolving healthcare environment.
What You Will Do: - Advise clients on compliance initiatives related to Evaluation & Management (E/M) services, CPT-4, and ICD-10-CM diagnosis coding across various healthcare settings, including hospitals, health systems, physician practices, RHCs, and FQHCs
- Conduct comprehensive compliance assessments to identify risks and recommend corrective actions
- Develop and refine procedures and reports to support client compliance and operational efficiency
- Collect, analyze, and interpret data to deliver actionable insights to internal teams and client stakeholders, including C-suite executives, management, and provider staff
- Perform in-depth data analysis to identify trends, uncover anomalies, and support strategic decision-making for clients
- Deliver an exceptional client service experience and proactively identify opportunities for value-added services
- Engage actively in professional healthcare industry organizations such as AAPC, AHIMA, HFMA, and MGMA to stay current with industry trends and best practices
Minimum Qualifications: - Bachelor's Degree
- 4+ years of experience with coding performance improvement projects, including qualitative and quantitative tasks
- Proven proficiency in advanced Excel and IT platforms, with strong technical skills in spreadsheets and databases
- Proficiency in Microsoft Office Suite
- Current and valid coding certification in at least one of the following: RHIA, CPC, COC, or CRCR
Preferred Qualifications: - Master's Degree
- Prior experience in a large or mid-sized consulting firm
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