Manager, Risk Consulting Healthcare Compliance
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Job Description
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential.
Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM .
Consulting Manager – Healthcare Revenue Integrity – Industry Advisory Location: Open to candidates across the US RSM ’s Healthcare Margin Improvement practice is searching for a Healthcare Revenue Integrity Consulting Manager to join our team.
We are an integrated healthcare consulting team that provides regulatory, strategy, and operations focused services to healthcare organizations throughout the country. The Consulting Manager will understand the consulting cycle process within the healthcare industry.
More specifically, qualified candidates must have experience with revenue integrity process management and optimization, including experience with Charge Data Master, Pricing, Coding, and CDI including the identification, qualification and quantification of opportunities.
Responsibilities
Work with clients to design processes that align with healthcare business and management processes, regulatory requirements, and other business needs Assess current state workflow and work with implementation team to validate proposed future state fits with overall project objectives, all in conjunction with the functional, clinical, and operational teams.
Identify, assess, and solve complex business integration challenges where analysis of situations or data requires an in-depth evaluation of variable factors.
Evaluate client compliance with state and federal regulations applying to patient consumer rights, privacy requirements, and transparency under the affordable care act
Required Skills
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