Consulting Director, Clinical Documentation / Integrity
Consulting Director, Clinical Documentation / Integrity
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$ 179000 - 298000
1 Vacancy
Job Description
Job Family:
Finance & Accounting Consulting
Travel Required:
Clearance Required:
What You Will Do
Guidehouse is engineering revenue cycle and clinical integrity on a platform that can power the future of health services reimbursements. Complexity friction and duplicity impede healthcare transactions. Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies/operations and engineer revenue cycle operations simplify consumer experience and minimize administrative cost. Our approach is to strategically and operationally elevate the entire healthcare experience for patients leveraging our full scope of reimbursement capabilities along with cutting-edge technology in machine learning automation and financial technology to reimagine revenue cycle.
You will be responsible for managing client relationships overseeing account projects and delivery of work. This position requires outstanding client management problem-solving and communication skills; experience leading complex revenue cycle engineering and operations spanning multiple teams and stakeholders; and managing C-suite relationships and this role you will drive internal strategic and operational initiatives at the convergence of clinical documentation risk adjustment and the electronic health is engineering revenue cycle and clinical integrity on a platform that can power the future of health services reimbursements. Complexity friction and duplicity impede healthcare transactions. Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies/operations and engineer revenue cycle operations simplify consumer experience and minimize administrative cost. Our approach is to strategically and operationally elevate the entire healthcare experience for patients leveraging our full scope of reimbursement capabilities along with cutting-edge technology in machine learning automation and financial technology to reimagine revenue cycle. Responsibilities Include:
Key Responsibilities:
- Support the growth of the team: help hire develop and mentor team members; plan by identifying and addressing bottlenecks gaps and risks
- Develop and maintain strong client relationships that provide leverage for decision-making and effective change management
- You will refine Guidehouse Clinical Documentation and Quality solutions and shape our consulting team and deliverables to identify and analyze current clinical documentation and coding to align and achieve excellence in risk adjustment clinical documentation efficiency and medical management.
- Disciplined and focused on business growth project execution and client satisfaction. You will develop efficient workflows and implement technology solutions within the operating systems.
- Contribute to the design documentation and execution of repeatable and scalable client clinical integrity frameworks and client deliverables.
- You will provide account management strategies that deliver an industry leading client experience
- Work cross-functionally within Guidehouse revenue cycle/finance teams as well as our broader portfolio of healthcare services to bring integrated sustainable solutions to healthcare clients
- Proactively contribute to the strategic direction and priorities for the finance/RCM Operations team
What You Will Need:
- 10 yrs. working in health system complex clinical documentation/quality/finance operations with a heavy focus leading clinical documentation/integrity strategy and operations design and implementation.
- Demonstrated success in complex problem solving and root cause analysis and structured solutioning to better engineer clinical documentation and coding for the consumer business and clinician to measurably improve satisfaction and impact.
- 7 yrs. experience independently owning senior level stakeholder relationships/communication and accountability for delivering successful cross-functional project outcomes
- 3 yrs. management consulting experience managing client and internal teams responsible for revenue cycle engineering and operational effectiveness
- Proficient understanding of EMR applications (Epic and Cerner)
- 10 yrs. exploring interpreting and designing process workflows data and metadata to synthesize and execute strategies for process improvement
- You have the ability to quickly synthesize information and data and present to senior level stakeholders
- 3 yrs. selling consulting or professional services (heavily preferred)
- Ability to create standardized processes with strong organization time management and project management skills
- Bachelors Degree from accredited college or university
- Travel up to 70% of the time to client site(s)
What Would Be Nice to Have:
- RHIA or RN CCDS CDIP coding certifications
- Experience reimbursement requirements
- Working knowledge of the reimbursement requirements and guidelines
- Able to educate and present to clinicians and finance executives
- Graduate degree from accredited college or university MBA MHA MSA
- Working knowledge of AI and automation
What We Offer:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical Rx Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Required Experience:
Director
Employment Type
Full-Time
