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Robert Half New York / Dallas / Chicago Risk & Compliance – Healthcare Coding Senior Manager in NEW YORK CITY, New York


New York / Dallas / Chicago Risk & Compliance – Healthcare Coding Senior Manager






Are You Ready to Live Protiviti?

The Protiviti Career provides opportunity to learn, inspire and advance within a collaborative and diverse company culture.  We hire curious people for whom learning is an everyday activity. We fuel your curiosity with challenging work, talented colleagues and creative learning resources. At every level, we champion leaders who influence and achieve results. We encourage you to “bring your whole self to work” – all of your motivations, passions, priorities and commitments – as these things bring us closer to exceptional.

That's Living Protiviti.

We strive to recruit and hire the best talent, and it does not stop there. Once you join us, we promise to help you bring your career to life through exceptional work experiences, a culture passionate about learning and development, and a dedication to what matters to you.

Are you inspired to make a difference?

Then you have come to the right place.

Where We Need You:

The Global Healthcare Practice is seeking a Risk and Compliance Senior Manager to join our growing team.

What You Can Expect:

Senior Managers partner with our clients to solve complex business problems and provide best in class advice and solutions. Senior Managers have a solid understanding of their client’s business and demonstrate technical competence in their solution and industry. Senior Managers can clearly articulate the value drivers of our business, and are responsible for developing opportunities both at existing clients and new clients. Senior Managers are responsible for job economics and for ensuring seamless project management. Senior Managers are developing future contacts within the business community and serve as ambassadors of Protiviti in the market.

What Will Help You Be Successful:

  • You enjoy discuss ing technical and industry trends and s eek opportunities to demonstrate and teach seniors and staff on the job.

  • You participate in the initiation and development of new products and services.

  • You enjoy participating in engagement sales opportunities and c onsistently develop work at existing clients .

  • Y ou are passionate about delivering client satisfaction and demonstrating a growing level of industry and product competency and are able to articulate their value to your clients .

  • You u nderstand the business environment and potential client base for your solution and industry .

  • You seek opportunities to interact with and mentor personnel, including participating in the creation and rollout of training and developing skill sets.

  • You make conscious use of real-time supervision during all phases of an engagement to develop our people.

  • You have an inherent interest in pr oject management and team leadership. Y ou seek new ways to create extraordinary development opportunities and ways for your team to make an impact on our clients and communities.

    Do Your Talents Include the Following?

  • Advanced verbal and written communication skills, including documentation of findings and recommendations.

  • A solid foundation in risk and compliance processes and objectives.

  • A basic understanding of healthcare provider regulations and requirements (e.g., HIPAA, False Claims Act, Conflicts of Interest, etc.).

  • Comprehension of core business processes related to hospitals, academic medica l center, physician practices, and/or other provider types.

  • Knowledge of risk assessment methodologies and developing key deliverables, including process flows, work programs, reports, and control summaries.

  • Ability to work with a diverse portfolio of clients across the healthcare provider sector.

  • Strong p roject management and reporting capabilities.

  • Ability to adapt in a rapidly changing environment.

  • Ability to network and support existing client relationships.

  • Experience conducting medical record reviews and experience in auditing hospital and/or physician clinical documentation and billing .

  • Knowledge of provider clinical documentation, coding and billing processes and associated governmental rules and regulations.

    Your Educational and Professional Qualifications:

  • Bachelor’s degree in relevant discipline (e.g. Nursing, Healthcare Administration , Accounting , Finance or Other Related Field). Associates degree in medical coding is also preferred .

  • Certified Professional Coder (CPC) with inpatient coding experience in ICD-10 environment and/or certified Clinical Documentation Improvement Specialists (CDS) required.

  • Registered Health Information Administrator ( RHIA ) or Registered Health Information Technician (RHIT) preferred.

  • 6 + years working in provider healthcare compliance environment, preferably a hospital , health system , or for a Medicare Administrative Contractor (MAC). The position is focused on supporting Compliance and Revenue Cycle functions in conducting clinical documentation and coding audits, including reviews of medical records in a wide variety of environments and sepcialities required .

  • Knowledge of medical coding requirements and provider reimbursement structures.

  • Proficiency in Microsoft Office suite applications with specific emphasis on Word, Excel and PowerPoint. Secondary emphasis on Visio and Access.

    Do You Love Exploring New Places?

    May travel in the future.

Protiviti is not licensed or registered as a public accounting firm and does not issue opinions on financial statements or offer attestation services.

For all US & Canada Postings: You may submit your application materials online or call 1.888.556.7420 for additional ways to apply. Protiviti is an Equal Opportunity Employer. M/F/Disability/Veteran