Lead Consultant, Healthcare Performance Improvement - Coding Compliance

Forvis Mazars US; Nashville (TN); On-site; USD 86,300 - 143,800; Full time

Job summary

Forvis Mazars, LLP seeks a Performance Improvement Healthcare Consultant to advise on compliance initiatives for E/M, CPT-4, and ICD-10-CM coding, across hospitals, physician practices, and other settings. You will conduct risk assessments, refine procedures, and deliver actionable insights to leadership.

You will analyze data to identify trends, support strategic decisions, and pursue opportunities for value‑added services while engaging with industry organizations to stay current with best

Qualifications

• Bachelor's degree required.
• 4+ years of experience with coding performance improvement projects.
• Proficiency in advanced Excel and IT platforms.
• Proficiency in Microsoft Office Suite.
• Current and valid coding certification RHIA or CPC or COC or CRCR.

Responsibilities

• Advise clients on compliance initiatives related to E/M, CPT-4, and ICD-10-CM coding across healthcare settings.
• 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 to stay current with industry trends and best practices.

Skills

Advanced Excel

IT platforms

Databases

Microsoft Office

Education

Bachelor's Degree

Master's Degree

Tools

RHIA

CPC

COC

CRCR

Job description

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

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. It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates. Forvis Mazars, LLP expressly reserves the right not to consider any unsolicited referrals, resumes or CVs from vendors including and without limitation, search firms, staffing agencies, fee‑based referral services, and recruiting agencies. Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or recruiting agency unless such recruiter or recruiting agency has a signed vendor agreement with Forvis Mazars, LLP. Any resume(s) or CV(s) submitted to anyone working for Forvis Mazars, LLP, or submitted to a Forvis Mazars, LLP general email, without having a Forvis Mazars, LLP vendor agreement in place, will be considered the property of Forvis Mazars, LLP.

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/. Forvis Mazars reserves the right to make changes to the salary range based on business needs.

IL Minimum Salary (USD)

$86,300

IL Maximum Salary (USD)

$143,800