Manager, Risk Consulting Healthcare Compliance

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 and no surprised act.
• Evaluate client revenue cycle org structure and staffing levels based on breadth of organization, strategic growth plans, and annual volume of patient activity.
• Identify opportunities to improve technical adoption across the continuum of EMR, billing platform, and bolt-on applications.
• Work interactively with clients and client team members to create deliverables.
• Assist in the development of training materials for client personnel related to any new processes/systems
• Assist in creating, managing, and executing project work plans to provide high-quality client service delivery.
• Assist in preparing and maintaining internal and external project status reports
• Assist in leading and directing support staff on projects to prioritize work tasks, ensuring project milestones and deadlines are met, and ensuring work products meet quality standards
• Mentor junior team members in industry best practices for implementation and project management
• Support sales activity with new and existing clients by participating in meaningful conversations regarding current challenges while representing RSM’s capabilities.

Basic Qualifications:

• Bachelor's degree
• 5+ years of revenue integrity leadership experience with Hospitals or large Physician groups, ideally in a consulting capacity
• Certified Professional Coder (CPC) or American Academy of Professional Coders (AAPC) certification preferred
• Experience designing best practices and managing teams responsible for Revenue Integrity processes preferred.
• Proven experience leading and/or supervising client service teams
• Ability and willingness to travel nationwide up to 60%

At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at .

All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law.

Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at .

RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate.

RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information.

At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range.

Originally posted on Himalayas