4+ years of experience in coding performance improvement projects
Strong expertise in advanced Excel and IT platforms
Proficiency in Microsoft Office Suite
Current coding certification in RHIA, CPC, COC, or CRCR
Responsibilities
Advise clients on compliance related to E/M services and coding standards
Conduct compliance assessments to identify and remedy risks
Develop procedures and reports for operational efficiency
Analyze data to provide insights to internal teams and clients
Identify trends and anomalies through in-depth data analysis
Deliver exceptional client services and discover opportunities for enhancements
Engage with professional healthcare organizations to stay updated on trends
Benefits
Opportunity to work on impactful projects with healthcare providers
Engagement with leading industry organizations
Professional development through focused training and compliance initiatives
Exposure to C-suite level decision-making environments
Work collaboratively with diverse teams across multiple healthcare settings
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