4+ years of coding performance improvement project experience
Proficient in advanced Excel and IT platforms
Skilled in Microsoft Office Suite
Current coding certification (RHIA, CPC, COC, or CRCR) required
Master's Degree preferred
Experience in a large or mid-sized consulting firm preferred
Responsibilities
Advise clients on E/M compliance initiatives and coding standards across healthcare settings
Conduct thorough compliance assessments to pinpoint risks and suggest improvements
Develop and enhance reports and procedures for client compliance
Analyze data to provide actionable insights for clients and internal teams
Identify trends and anomalies through detailed data analysis
Ensure exceptional client service and uncover opportunities for value-added services
Engage with professional organizations to remain updated on industry trends
Benefits
Engagement with leading healthcare organizations
Opportunity for professional development through industry associations
Focus on impactful changes for clients
Ability to work in a dynamic and evolving healthcare environment
Collaborative team culture aimed at performance improvement
Full Job Description
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
