Lead Consultant, Healthcare Performance Improvement - Coding Compliance

Description & Requirements

The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, they identify opportunities and support leadership in implementing impactful changes. With a focus on strengthening margins, the team empowers providers to fulfill their mission and thrive in today's evolving healthcare environment.

What You Will Do:

• Advise clients on compliance initiatives related to Evaluation & Management (E/M) services, CPT-4, and ICD-10-CM diagnosis coding across various healthcare settings, including hospitals, health systems, physician practices, RHCs, and FQHCs
• Conduct comprehensive compliance assessments to identify risks and recommend corrective actions
• Develop and refine procedures and reports to support client compliance and operational efficiency
• Collect, analyze, and interpret data to deliver actionable insights to internal teams and client stakeholders, including C-suite executives, management, and provider staff
• Perform in-depth data analysis to identify trends, uncover anomalies, and support strategic decision-making for clients
• Deliver an exceptional client service experience and proactively identify opportunities for value-added services
• Engage actively in professional healthcare industry organizations such as AAPC, AHIMA, HFMA, and MGMA to stay current with industry trends and best practices

Minimum Qualifications:

• Bachelor's Degree
• 4+ years of experience with coding performance improvement projects, including qualitative and quantitative tasks
• Proven proficiency in advanced Excel and IT platforms, with strong technical skills in spreadsheets and databases
• Proficiency in Microsoft Office Suite
• Current and valid coding certification in at least one of the following: RHIA, CPC, COC, or CRCR

Preferred Qualifications:

• Master's Degree
• Prior experience in a large or mid-sized consulting firm

About Forvis Mazars, LLP

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, our 7,000+ team members deliver assurance, tax, and consulting services to clients in all 50 states and internationally.

What We Offer

• A robust total rewards program and flexible work environment
• Empowering our team to grow and thrive while delivering exceptional service
• To explore what makes working at Forvis Mazars special, visit www.forvismazars.us/careers

Legal Notice

Forvis Mazars, LLP is an equal opportunity/affirmative action employer in accordance with applicable law. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.

Illinois Wage Transparency

Pursuant to Illinois' Equal Pay Act, the salary range displayed is for the Illinois market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek. Benefits are eligibility-based and could include group health plan benefits, 401(K), bonuses, profit-sharing contributions, flexible time off, and parental leave. For more information on benefits, please visit https://resourcecenter.forvismazars.us/.