Senior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI)

US101 Guidehouse Inc.; Chicago (IL); Hybrid; USD 89,000 - 148,000; Full time

Job summary

Guidehouse is seeking Clinical Integrity Senior/Managing Consultants in the US with CDI and inpatient coding expertise to manage complex client engagements. You will lead workstreams, mentor teams, and deliver high-quality results while coordinating with directors and partners.

Travel up to 50%–75% is possible as you advance from Senior to Managing Consultant, with a clear career path and opportunities for practice development and leadership progression.

Qualifications

• BA/BS degree or higher in Business Administration, Health Care Administration, Clinical Administration, or RN Licensure HIM or CDI certification (AHIMA, AAPC, or ACDIS).
• For Senior Consultant, 5+ years in clinical documentation or inpatient coding.
• For Managing Consultant, 5+ years in clinical documentation/inpatient coding in a manager/supervisor role.
• Strong MS-DRG/APR-DRG coding experience.
• Strong ICD-10-CM/PCS coding experience.
• Understanding of coding capture for risk adjustment.
• Understanding of leading CDI KPIs, financial impact, and optimized processes.
• Ability to convey value to executives.
• Advanced analytical and data manipulation skills using Excel.
• Willingness to travel up to 50% to client sites.
• Ability to develop and deliver educational presentations.

Responsibilities

• Manage client workstreams and interact with the client daily for engagement success.
• Prepare and communicate organized reports and presentations to client and internal executives.
• Lead, coach and mentor junior consultants and ensure quality deliverables.
• Own engagements from cultivation to completion; manage work plans, staffing, deadlines and budgets.
• Lead team meetings, guide and coach consultants and senior consultants; provide feedback.
• Work with Directors and Partners to keep them updated on progress and developments.
• Support practice development and pursue long-term hiring and career development.

Skills

Excel

ICD-10-CM/PCS coding

Client management

Project leadership

Mentoring/coaching

Data analysis

Education

BA/BS in Business Admin / Health Care Admin / Clinical Admin / RN licensure HIM or CDI certification (AHIMA/AAPC/ACDIS)

Master's degree in business or related field

Job description

Job Family, Travel, Clearance

Job Family: Finance & Accounting Consulting Travel Required: Up to 75%+ Clearance Required: None

What You Will Do

Clinical Integrity Senior Consultants have responsibility for client management, solution implementation and generation of project results. You will own project workstreams and interact with the client daily to ensure engagement success. This includes supporting day-to-day operational meetings with client sponsors and consulting leaders. Senior Consultants are expected to prepare and communicate well-organized, effective reports and presentations to client and internal executives. You will lead, coach and mentor junior consultants and ensure quality deliverables. Managing Consultants own client engagements from cultivation to completion. In this role, you will be accountable for the activities of the project team and support the day-to-day management of the client relationship. You are expected to effectively develop and manage work plans, staffing, deadlines and budgets for multiple complex projects simultaneously. Work products are expected to be high-quality and client-ready. In this visible role, you will lead team meetings, and guide, manage, and coach consultants and senior consultants, providing constructive feedback on project participation and overall career development. Managing Consultants work closely with Directors and Partners to keep them abreast of project progress and important developments. Managing Consultants support practice development. We encourage career development and hiring for the long term. As a Senior Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills. As you hone your project management skills, leadership abilities and the aptitude for managing multiple workstreams, you will have the opportunity to progress to the Managing Consultant level. As a Managing Consultant, you will follow a clearly defined career path and continue to develop your project management and client relationship skills. As you are ready drive strategic solutions across multiple complex workstreams and become more involved in business development, you will have the opportunity to progress to the Associate Director level.

What You Will Need

• BA/BS Degree or higher in Business Administration, Health Care Administration, Clinical Administration, or RN Licensure HIM or Clinical Documentation Improvement certification through either of the following: AHIMA, AAPC, or ACDIS (e.g., RHIA, RHIT, CCS, CPC, CDIP, CCDS)
• For Senior Consultant, 5 + years of experience in the role of Clinical Documentation Specialist or Inpatient Coding professional
• For Managing Consultant, 5 + years of professional experience in Clinical Documentation and/or Inpatient Coding in the role of Manager, Supervisor, Lead or equivalent)
• Strong MS-DRG/APR-DRG coding experience
• Strong ICD-10-CM/PCS diagnosis and surgical coding experience
• Strong understanding of coding and diagnosis capture for risk adjustment
• Strong understanding of leading practice CDI key performance indicators, financial impact, and optimized processes
• Ability to clearly convey the value and impact of OP IP CDI executives and hospital leadership
• Advanced analytical and data manipulation skills using Excel
• Willingness to travel to client sites across the United States up to 50%
• Ability to develop and deliver educational presentations to providers and clinicians

What Would Be Nice To Have

• Master's Degree in business or related field
• 2+ years financial analysis experience in a health-related organization
• Experience with diverse range of EMR systems
• Technical EMR expertise of the revenue cycle management modules (EMR certification[s] and/or build experience highly desired)
• Program design experience
• Documentation program development

The annual salary range for this position is $89,000.00-$148,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and 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 [e-mail].

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 [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.

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 [e-mail].

Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.

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