Health Care | Life Sciences, Senior Associate Registered Nurse Certified Coder
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Job Location:
Washington DC, WA - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Ankura is a team of excellence founded on innovation and growth.
Practice Overview
Ankuras Health Care Disputes Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers as well as in matters involving False Claims Act Anti-kickback Stark and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs conduct program effectiveness reviews and risk assessments and perform compliance assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records the determination of medical necessity and appropriate medical coding and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research misconduct human subjects protection and financial fraud related to research. Our practice is often called upon to advise investors on operational and compliance matters during due diligence. We serve as the Independent Review Organization for many clients and our work product is routinely presented to the Office of Inspector General of HHS and the US Department of Justice. We also work on provider / payor litigation matters where our team members serve as experts. Our clients include academic medical centers health systems physician practice groups post- and sub-acute providers health plans pharmacies and pharmacy benefit management companies as well as pharmaceutical and medical device manufacturers. We will consider candidates in most major US markets.
Responsibilities:
Demonstrates proficiency in medical coding billing clinical documentation and regulatory standards
Works with Project Managers toanalyze and understand client concerns and develop project work plans as requested
Understands health care compliance concepts issues and how to research and access regulatory guidelines and reference materials
Conducts independent review of medical records EMR (electronic medical records) or paper documentation
Drafts clear and concise analyses of medical record review and coding findings
Ensures successful completion of high-quality project deliverables as assigned and within the desired timeframe
Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships
Proven writing and presentation skills and has a keen sense of attention to detail
Communicates findings of concern with the team and Project Manager as they are identified
Utilizes creative and critical thinking problem-solving techniques
Qualifications:
Registered Nurse with active license unrestricted license.
Bachelor of Science in Nursing from an accredited college/university
Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity
Certified Professional Coder (CPC) with coding experience across inpatient outpatient and professional services
Familiar with the revenue cycle process and facility and professional claims
Demonstrates excellent communication skills both written and oral
Experience managing small projects and teams
Familiar with accessing and identifying clinical documentation in electronic medical record systems
Proficient in Excel Word and PowerPoint and able to draft reports and presentations and present findings
Ability to problem solve multi-task and prioritize assignments
Understands the importance of privileged and confidential communication
Willingness to travel when needed
Must be legally authorized to work in the United States without the need for employer sponsorship now or at any time in the future.
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Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters if you have a disability and believe you need a reasonable accommodation to search for a job opening submit an online application or participate in an interview/assessment please email or call toll-free 1.. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes such as following up on an application or technical issues unrelated to a disability will not receive a response.
Required Experience:
Senior IC
Key Skills
- EMR Systems
- Hospital Experience
- Acute Care
- ICU Experience
- Hospice Care
- Workers' Compensation Law
- Home Care
- Nursing
- Catheterization
- Critical Care Experience
- Medication Administration
- Tube Feeding
About Company
We have built a global team of subject matter experts and seasoned advisors with hard-earned industry knowledge, primed for this very moment, and for the future, given the disruptions and rapid pace of change that defines the business environment.
