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BRG · 1 day ago

Managing Consultant - Healthcare Performance Improvement (Revenue Integrity)

United States

Full-time

Remote

Mid, Senior Level

$70K/yr - $150K/yr

4+ years exp

BRG is a consulting firm that focuses on Healthcare Performance Improvement, working with healthcare providers to enhance financial, clinical, and operational performance. The Managing Consultant will be responsible for overseeing engagement work stream initiatives, conducting financial analysis, and managing client relationships while contributing to innovative solutions for complex healthcare challenges.

AdviceConsultingFinanceFinancial ServicesManagement Consulting

No H1B

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 appropriate

Qualification

Revenue IntegrityCharge CaptureFinancial AnalysisOperational ExpertiseHealthcare AdministrationAnalytical SkillsMS Office ProficiencyIndustry CertificationEMRsCommunication SkillsTeam CollaborationProblem Solving

Required

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

4-8 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

Operational 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

Understanding of the Medicare IPPS, OPPS and ASC payment systems

Understanding 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

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

Preferred

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, Athena/IDX)

Company

BRG

Glassdoor3.7

BRG combines world-leading academic credentials with world-tested business expertise, purpose-built for agility and connectivity, which sets us apart—and gets our clients ahead.

Founded in 2010

Emeryville, California, USA

1001-5000 employees