Manager - Healthcare Revenue Integrity Consulting

Consulting Manager - Healthcare Revenue Integrity - Industry Advisory

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.

- 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.

- 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%