Consulting Director, Clinical Documentation / Integrity

Consulting Director, Clinical Documentation / Integrity

Guidehouse is engineering revenue cycle and clinical integrity on a platform that can power the future of health services reimbursements. Complexity, friction and duplicity impede healthcare transactions. Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies / operations and engineer revenue cycle operations, simplify consumer experience, and minimize administrative cost. Our approach is to strategically and operationally elevate the entire healthcare experience for patients leveraging our full scope of reimbursement capabilities along with cutting-edge technology in machine learning, automation, and financial technology to reimagine revenue cycle.

Key Responsibilities

Manage client relationships, oversee account projects and deliver work, ensuring outstanding client management, problem-solving and communication.

Lead complex revenue cycle engineering and operations spanning multiple teams and stakeholders; manage C-suite relationships and communications.

Drive internal strategic and operational initiatives at the convergence of clinical documentation, risk adjustment and the electronic health record.

Support team growth : hire, develop, mentor team members; identify and address bottlenecks, gaps and risks.

Refine Guidehouse Clinical Documentation and Quality solutions and shape consulting deliverables to achieve excellence in risk adjustment, clinical documentation efficiency and medical management.

Develop efficient workflows and implement technology solutions within operating systems.

Contribute to the design, documentation and execution of repeatable and scalable client clinical integrity frameworks.

Provide account-management strategies delivering an industry-leading client experience.

Work cross-functionally within Guidehouse revenue cycle / finance teams and the broader healthcare services portfolio to bring integrated sustainable solutions to clients.

Proactively contribute to the strategic direction and priorities for the finance / RCM Operations team.

What You Will Need

10+ years working in health system complex clinical documentation / quality / finance operations with a heavy focus on leading clinical documentation / integrity strategy and operations design and implementation.

Demonstrated success in complex problem solving, root-cause analysis and structured solutioning to better engineer clinical documentation and coding for the consumer, business and clinician.

7+ years independently owning senior-level stakeholder relationships / communication and accountability for delivering successful cross-functional project outcomes.

3+ years management consulting experience managing client and internal teams responsible for revenue cycle engineering and operational effectiveness.

Proficient understanding of EMR applications (Epic and Cerner).

10+ years exploring, interpreting and designing process workflows, data, and metadata to synthesize and execute strategies for process improvement.

Ability to quickly synthesize information and data and present to senior-level stakeholders.

3+ years selling consulting or professional services (highly preferred).

Ability to create standardized processes with strong organization, time-management and project-management skills.

Bachelor's Degree from an accredited college or university.

Travel up to 70% of the time to client site(s).

Nice to Have

RHIA or RN, CCDS, CDIP, coding certifications.

Experience with reimbursement requirements and guidelines.

Ability to educate and present to clinicians and finance executives.

Graduate degree from an accredited college or university (MBA, MHA, MSA).

Working knowledge of AI and automation.

Salary

The annual salary range for this position is $179,000.00–$298,000.00. Compensation decisions depend on a wide range of factors including skill sets, experience, training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits Include

Medical, Rx, Dental & Vision Insurance

Personal and Family Sick Time & Company Paid Holidays

Position may be eligible for a discretionary variable incentive bonus

Parental Leave and Adoption Assistance

401(k) Retirement Plan

Basic Life & Supplemental Life

Health Savings Account, Dental / Vision & Dependent Care Flexible Spending Accounts

Short-Term & Long-Term Disability

Student Loan PayDown

Tuition Reimbursement, Personal Development & Learning Opportunities

Skills Development & Certifications

Employee Referral Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.

Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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