Senior Consultant-Medical Coding and Compliance

Job Description: Plante & Moran, PLLC, the 10th largest accounting and management consulting firm in the nation is proud to be recognized as "One of Fortune Magazine's Top 100 Companies to Work for in America" for the eighth year in a row. This year we are #12! Our rapid growth and increasing demands for our services has created a need for a highly motivated individual to join our team.

Our Benefits and Culture:

Plante & Moran's goal is to be the firm-of-choice for current and potential clients and staff. We are deeply committed to our client's success and to help our staff members realize professional and personal fulfillment. Plante & Moran strives to provide an environment that embraces and effectively manages human differences and promotes thought, creativity, and client service.

We strive to attract the best and brightest people: those that reflect the diversity of the clients we serve and hope to attract. To that end, we offer a number of great benefits, including the choice of several different health care benefit plans and dental and vision coverage. Other benefits include:
Short-Term and Long-Term Disability
Basic Life and Optional Life Coverage
401(k) Tax Savings Plan and Matching Contribution
Flexible Benefits Plan
Athletic Reimbursement Program
Saturday Day Care during tax season
Generous Paid-Time-Off PolicyJob Description:The Senior Healthcare Consultant position will be responsible for coordinating the activities of medical audits, coding education, chargemaster (CDM) reviews, and compliance services for clients in Michigan and Ohio. In addition, this individual will work on development of products to aid hospital and medical group clients in minimizing the time to code patient charts, fully appreciate the reimbursement afforded them under regulation, and efficiently implement strategies to maintain compliance with federal, state and local standards. It is estimated that direct client duties will represent 75% of this individual's time, and 25% will be associated with planning, development and other functions.A significant tool made available to healthcare clients of Plante & Moran is an on-line CDM management service. Accessed through an Application Service Provider (ASP) internet connection and in partnership with a major software vendor, clients receive real-time notification of regulatory changes relevant to their CDM and associated hard-coded CPT, HCPC, and Revenue Codes. In order to make improved decisions on managing their CDM, P&M provides periodic reviews of the client CDM, and daily access to P&M coding consultants for a fixed monthly fee. The Senior Healthcare Consultant will be responsible for management of this product.Other services to be coordinated by the Senior Healthcare Consultant are:
Supervising Independent Review organization services to clients under a Corporate Integrity Agreement
Medical Chart Audits
Physician and Staff education
DRG and APC reviews
Participation in Hospital and Medical Group revenue cycle assessments and process improvement engagements
Participation in Third-party Administrator medical claims review engagementsJob Requirements:
Bachelors of Science Degree in Health Informatics or Health Information Management
Minimum 7 years of experience working in a hospital coding environment
AHIMA Certified as Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS)Ideal Characteristics and Background:
Strong written and verbal communication skills
Self confident and at ease in presenting to groups of 20 - 30 people, and in communicating to Senior Management of hospitals (CEO, COO, and CFO's)
Licensed Practical Nurse or Registered Nurse
Self-starterWe thank all who express interest in this opportunity; however only those selected for an interview will be contacted.

Plante and Moran, PLLC is an Equal Opportunity Employer. It is our policy to provide equal employment opportunity to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, handicap or veteran's status, or status within any other protected group.