Experienced Associate, Healthcare Forensics Coder

• N/A

• High School Diploma or equivalent, required
• Bachelor’s degree in Healthcare Administration, Public Health, or Business, preferred

• Three (3) years of experience in healthcare consulting, revenue cycle, claims auditing, or payment integrity, required
• Experience with healthcare reimbursement (Medicare, Medicaid, Commercial), coding (ICD-10, CPT, HCPCS), and claims processing, preferred
• Experience in the following areas, preferred:
• Forensic Analytics
• Compliance Analytics
• Artificial Intelligence
• Fraud Analytics

• Active credential in one (1) or more of the following, required: Nationally recognized coding credential (e.g. CPC, CCS, RHIA, RHIA) and/or Certified in Healthcare Compliance (CHC)

• Proficiency in data analysis tools (e.g., Excel, SQL, SAS, Tableau), preferred
• Prior experience with Electronic Health Record software (e.g., EPIC, Cerner, Athena, etc.), preferred
• Coding/DRG software, preferred

• Ability to work with a high degree of professionalism and autonomy
• Excellent verbal and written communication skills
• Ability to communicate complex information in a clear and concise manner
• Excellent communication, problem-solving, and project management skills
• Ability to work independently and manage multiple priorities in a fast-paced environment
• Solid organizational skills, especially the ability to meet project deadlines with a focus on details
• Ability to successfully multi-task while working independently or within a group environment
• Ability to work in a deadline-driven environment, and handle multiple projects simultaneously
• Ability to interact effectively with people at all organizational levels of the Firm
• Ability to work collaboratively with others with accountability for work product

Keywords: Forensic, Healthcare Coding, Payment Integrity, Revenue Integrity, Revenue Cycle Management, Consulting, Disputes, Litigation, Investigation, Fraud, Waste, Abuse, Coding Auditor, Charge Capture, Healthcare Compliance

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including but not limited to the candidate’s qualifications, experience, skills, and geography.

National Range: $65,000 - $85,000 Maryland Range: $65,000 - $85,000 NYC/Long Island/Westchester Range: $65,000 - $85,000