Lead Consultant, Healthcare Performance Improvement - Coding Compliance - 2236901

Forvis Mazars

$86K — $143K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required
  • 4+ years experience in coding performance improvement
  • Strong technical skills in Excel and databases
  • Proficient in Microsoft Office Suite
  • Valid coding certification (RHIA, CPC, COC, or CRCR) required

Responsibilities

  • Advise clients on compliance related to E/M services, CPT-4, and ICD-10-CM
  • Conduct comprehensive compliance assessments to identify risks
  • Develop procedures and reports for compliance and efficiency
  • Analyze data to provide actionable insights to stakeholders
  • Identify trends and anomalies to aid clients' strategic decisions
  • Deliver exceptional client service and identify value-added opportunities
  • Engage in professional healthcare organizations to stay updated on trends

Benefits

  • Collaborative and supportive work culture
  • Professional development opportunities through industry engagement
  • Involvement in impactful healthcare improvement projects
  • Access to a network of healthcare professionals
  • Opportunities to work with C-suite executives and healthcare providers
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

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IL Minimum Salary (USD)

$ 86300

IL Maximum Salary (USD)

$ 143800

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