Manager - Healthcare Revenue Integrity Consulting

Responsibilities

• Work with clients to design processes that align with healthcare business and management processes, regulatory requirements, and other business needs
• Audit 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 surprise act
• 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
• Aid in the development of training materials for client personnel related to any new processes/systems
• Aid in the creation, management, and execution of project work plans to provide high-quality client service delivery
• Aid in the preparation and maintenance of internal and external project status reports
• Aid in leading and directing support staff on projects to prioritize work tasks, ensure project milestones and deadlines are met, and ensure 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

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%

Benefits

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 https://rsmus.com/careers/working-at-rsm/benefits.

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 careers@rsmus.com.

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 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 careers@rsmus.com.

RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders).

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.

Compensation Range: $112,100 - $225,500

Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.