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KPMG is currently seeking a Sr Associate in Customer & Operations for our Management Consulting practice.
Perform operational assessments of financial and clinical departments with a focus on documentation and coding, revenue capture, care delivery, and quality reporting
Develop and deliver education related to compliance, coding, and clinical documentation issues within healthcare organizations; educate providers about identification of disease processes that reflect SOI, complexity, and acuity in order to facilitate accurate application of code sets
Review inpatient medical records on a concurrent or retrospective basis, to identify opportunities to clarify missing or incomplete documentation
Utilize knowledge of medical complications, comorbidities, SOI, ROM, case mix, and the impact of procedures on the billed record, as well impart this knowledge to providers and other members of the healthcare team
Gather and analyze information pertinent to documentation findings and outcomes, and use this information to develop action plans for process improvements; prepare and review engagement work papers and develop written briefings and reports to present to healthcare clients
Maintain daily contact with client and other members of working group to obtain information and resolve issues, attend working group meetings, and facilitate the adoption and implementation of recommended improvements; educate clients on operational leading practices
Five years of experience in an acute care hospital or healthcare consulting role
Bachelor's degree in a related field from an accredited college/university; current registered nurse license (RN) and clinical certifications such as a Certified Clinical Documentation Specialist (CCDS) and/or Certified Coding Specialist (CCS) are preferred
Qualified candidate should also have advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting
Experience with Interqual and/or Milliman care guidelines and working knowledge of CPT/HCPCS and ICD coding is desirable
Proficiency in organizational skills and planning; ability to think strategically and assist in the organization and management of a multi-disciplinary team; ability to juggle multiple priorities in a fast-changing environment and Travel may be up to 80-100%
Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing and Internet search with excellent written and verbal communication and interpersonal skills, along with the demonstrated ability to gain the confidence and respect of senior executives
KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an equal opportunity employer. All qualified applicants are considered for employment without regard to race, color, creed, religion, age, sex/gender, national origin, ancestry, citizenship status, marital status, sexual orientation, gender identity or expression, disability, physical or mental handicap unrelated to ability, pregnancy, veteran status, unfavorable discharge from military service, genetic information, or other legally protected status. KPMG maintains a drug-free workplace. KPMG will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state or federal law (including San Francisco Ordinance number 131192). No phone calls or agencies please.
Website : http://www.kpmg.com
KPMG LLP, the audit, tax and advisory firm, is the U.S. member firm of KPMG International Cooperative ("KPMG International"). KPMG International’s member firms have 145,000 professionals, including more than 8,000 partners, in 152 countries. KPMG delivers a globally consistent set of multidisciplinary services based on deep industry knowledge. Our industry focus helps KPMG professionals develop a rich understanding of clients' businesses and the insight, skills, and resources required to address industry-specific issues and opportunities.