Managing Consultant - Healthcare Performance Improvement (Revenue Integrity)

We do Consulting DifferentlyBRG’s Healthcare Performance Improvement (HPI) practice works with healthcare providers to identify and implement measurable and sustainable financial, clinical, and operational performance improvements. We combine comprehensive expertise, experience, and analytics to deliver data-driven, innovative approaches to help hospitals, health systems, academic medical centers, and other providers tackle their most complex problems. We have assessed and implemented nearly $1 billion in bolthires savings and revenue improvement for our diverse set of clients over the last ten years.The HPI Revenue Cycle team is currently seeking either aSenior Associate or Consultant to join their team. This position requires a highly motivated problem solver with solid analytical ability, strong organizational skills, and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The work of aSenior Associate /Consultant will involve both execution and oversight of engagement work stream initiatives that may be either qualitative or quantitative in nature, and responsibilities include: design of financial analysis, development and presentation of client deliverables, management of existing client relationships, industry research, and expansion of business.Job title and compensation to be determined based on qualifications and experience. Responsibilities• Assess and analyze charge generation and charge capture workflows to identify potential revenue leakage issue(s) and/or compliance risks• Review and/or draft Revenue Integrity related policies and procedures to identify improvement recommendations• Perform detailed research and analysis (e.g., gather, review, and summarize literature and data from the public domain, specialized industry resources, or client, public, and commercial databases).• Demonstrate creativity and efficient use of relevant software tools, analytical methods, and computer models to develop solutions. • Develop analyses and financial models using transactional data, financial data, and/or client provided data. • Develop and execute workplans for assigned project work• Draft client deliverables for review by project lead/manager• Work collaboratively with internal Revenue Integrity team members to develop methodology and documentation• Participate in a team environment and prioritize assignments and responsibilities to meet goals and deadlines; facilitate internal meetings as appropriateQualifications• A Bachelor’s or Master’s degree (e.g., BS, BBA, MBA, MHA, M.A., M.S., etc.) with a preferred focus in Management, Accounting, Finance, Healthcare Administration, Business Administration, Health Information Management or related discipline.• 2-6 years of consulting and/or industry work experience in Revenue Integrity and/or Charge Integrity including performance and process improvement, revenue management and redesign, and reimbursement and recovery strategies. Job title and compensation to be determined based on qualifications and experience. • O perational expertise with a primary focus on Charge Description Master (CDM) Management, Charge Capture, Revenue Integrity, Denials Prevention, HIM/Coding /Outpatient Clinical Documentation Improvement, Denials Prevention, and Payer Contracting.• U nderstanding of the Medicare IPPS, OPPS and ASC payment systems• U nderstanding of documentation and various charge capture and charge generation processes across high-volume, revenue-producing hospital departments• Understanding of charge reconciliation processes• Familiarity with compliance principles as related to Revenue and Charge Integrity• Familiarity with regulatory changes that impact charging practices• Familiarity with clinical operations and billing office workflows• Strong verbal and written communication and presentation skills• Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, Access, and Outlook• Applicable industry certification is preferred (e.g., RHIA, RHIT, CPC, COC, CCS, CRIP or other AHIMA / AAPC / AAHAM certification).• Familiarity with various EMRs ( e.g. Epic, Cerner, Allscripts, MEDITECH, bolthires/IDX )Willing to travel consistently (50% - 75 %, depending on project requirements and client expectations) is required for this position. Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship. Senior AssociateSalary Range: $70,000 – $135,000 per year. ConsultantSalary Range: $70,000 – $150,000 per year. Managing ConsultantSalary Range: $100,000 – $230,000 per year#LI-REMOTE#LI-JQ1About BRGBRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead.At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges.We get results because we know our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.Apply tot his job