Senior Managing Consultant – Revenue Integrity – Healthcare

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $166k - $199k / year

⏰ Full Time

🟠 Senior

💼 Consultant

👻 Ghost score 0%

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Berkeley Research Group (BRG)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏗️ Construction

📦 Logistics

🎖️ Defense

💰 Venture Round on 2020-07

Construction • Logistics • Defense

Berkeley Research Group (BRG) is a global consulting firm that helps leading organizations advance in the fields of corporate finance; economics, disputes, and investigations; and performance improvement. With offices around the world, BRG is an integrated group of experts, industry leaders, academics, data scientists, and professionals working across borders and disciplines. The firm specializes in various sectors, including construction, energy, technology, and healthcare, delivering inspired insights and practical strategies to help clients navigate their challenges effectively.

📋 Description

• Execute and oversee engagement work-stream initiatives that may be qualitative or quantitative. • Design financial analyses. • Develop and present client deliverables. • Manage existing client relationships. • Conduct industry research. • Support business expansion. • Assess and analyze charge generation and charge capture workflows to identify revenue leakage and compliance risks. • Review and/or draft Revenue Integrity policies and procedures and identify improvement recommendations. • Perform detailed research and analysis using literature, data, industry resources, and client, public, and commercial databases. • Use relevant software tools, analytical methods, and computer models to develop solutions. • Develop analyses and financial models using transactional, financial, and client-provided data. • Develop and execute workplans for assigned project work. • Draft client deliverables for review by the project lead/manager. • Collaborate with internal Revenue Integrity team members to develop methodology and documentation. • Participate in team activities, prioritize assignments, facilitate internal meetings, and meet goals and deadlines.

🎯 Requirements

• 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. • 7+ 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. • Familiarity with various EMRs, including Epic, Cerner, Allscripts, MEDITECH, and Athena/IDX. • Applicable industry certification is preferred, such as RHIA, RHIT, CPC, COC, CCS, CRIP or other AHIMA/AAPC/AAHAM certification. • Willingness to travel consistently 50%–75%, depending on project requirements and client expectations. • Must submit verification of legal right to work in the U.S. without company sponsorship now or in the future.