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Consultant

Cbiz

This is a Contract position in East Windsor, NJ posted September 16, 2020.

With over 100 offices and nearly 5,000 associates throughout the U.S. CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level.

CBIZ has been honored to be the recipient of several national recognitions:

  • 2020 Best Workplaces in Consulting & Professional Services by Great Place to Work®
  • 2019 America’s Best Mid-Size Employers by Forbes
  • 2019 Workplace Excellence Seal of Approval by the Alliance for Workplace Excellence
  • Top 101 highest scoring companies in the country for Best and Brightest Companies to Work For in the Nation by the National Association for Business Resources

CBIZ KA Consulting Services, LLC (CBIZ) has been assisting hospitals and healthcare systems with the intricacies of reimbursement since 1978. Throughout our history, we have focused on helping our clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and achieving compliance. Our extensive knowledge base and years of industry experience provide a blueprint for clinical decision making, data analysis, and documentation – the backbone for a successful hospital or health system.

CBIZ works in conjunction with its clients to provide assistance to uninsured patients and guide them through the process of applying for medical assistance through numerous available government programs.

Essential Functions and Primary Duties:

  • Demonstrates competence in the areas of critical thinking, interpersonal relationships, and technical skills.
  • Conduct both retrospective and concurrent coding audits as a consultant.
  • Works Collaboratively with the client’s clinical documentation program to achieve accurate DRG assignment and appropriate mortality and severity scores.
  • Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM/PCS and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
  • Review insurance denials with coding discrepancies.
  • Analyze supporting medical record documentation to ensure that appropriate CPT, HCPCs and ICD-10 codes are assigned.
  • Provide post-audit education and feedback to internal client stakeholders.
  • Support the facilitation and management of the coding and reimbursement review for a variety of clients.
  • Develop work plans, complete complex analyses, and write basic reports with minimal supervision or editing.
  • Create, maintain, and review work product (documents/data).
  • Suggest approaches and solutions for challenges that arise within the client engagement.
  • Contribute to various firm initiatives through participation in numerous internal workgroups and committees.
  • Complete other duties as assigned.

Minimum Qualifications:

  • High school diploma/GED, Bachelor’s degree is preferred.
  • Must be ambitious and self-directed in a fast-paced environment and can perform in a high volume, multitasking setting.
  • Must be trustworthy, professional, detail and goal oriented.
  • Must have exceptional customer service and excellent verbal/written communication skills.
  • Must be able to learn and work with Medicaid eligibility regulations.