Affordable Housing Trust for Columbus and Franklin County

• Contribute to the growth of UASI’s offerings by supporting business development and marketing initiatives • Drive growth within existing offerings through identification of new opportunities, collaboration with Sales Team, and cultivating trusted relationships with our clients by using SME to demonstrate value. • Possess a strong body of knowledge and expertise specifically with CDI Services, UR, Denials Management, Value Based Care and Risk Adjustment models as well as solid knowledge in overall mid-revenue cycle operations with a demonstrated understanding of industry trends and drivers. • Serve as a SME to sell and support the sales team with gaining credibility with clients, crafting proposals, creating the scope of work, and strategies to drive growth of consulting engagements. • Contribute to thought leadership strategy through a variety of methods including webinars, marketing campaigns, white papers, and speaking engagements. • Ensure client deliverables meet expected levels through effective client management and project management. • Utilize strong client communication skills by guiding the client through project status meetings, influencing key stakeholders, and ensuring project scope and deliverables are on target. • Work closely within project team to understand and identify client obstacles and adapt project workflow and direction to ensure results align with client goals. • Use critical thinking skills to synthesize client input, interpret complex data and translate that into actionable recommendations. • Utilize effective project management skills to clearly define client deliverables and establish milestones through efficient organization and project planning skills. • Provide mentoring and training to consulting staff by sharing expertise related to project deliverables, client communication, project methodologies, analysis of data and trends, etc. all within a collaborative and supportive structure. • Contribute to strategy through solutions development and an understanding of market trends and industry drivers. • Collaborate across service lines to identify and deliver innovative solutions that create client value through the sharing of resources, knowledge, and best practices.

• Utilize and enhance your coding expertise in an exciting and fulfilling role. • Work independently and maintain quality conscious attitude. • Adapt well to change in a reputable, award-winning company.

• Review and evaluate medical record documentation for completeness, accuracy, and compliance. • Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation. • Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes. • Analyze medical records to ensure documentation supports quality care and appropriate reimbursement. • Formulate compliant, clinically sound physician queries.

• perform accurate code assignments for facility outpatient, same day surgery and observation records • utilize and enhance coding expertise

• Completes clinical review of pre- and post-claim denials • DRG Denials • Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis • Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly. • Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems. • Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties. • Attend meetings with members of client-hospital finance, medical records, and ancillary departments. • Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship. • Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information

• Conducting inpatient coding reviews and SMART audits • Providing feedback and education

• Perform coding audits on a variety of facility outpatient record types while working remotely from a home office. • Utilize and enhance current auditing/coding skills.

• Utilize and enhance coding expertise • Work independently • Adapt to changes in coding regulations and practices

• Perform inpatient coding audits and review services to client sites remotely from a home office • Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types • Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans • Perform necessary research to provide to the client to support findings • Provide in-service education to clients on specific coding trends identified, as requested • Assist in the design and presentation of educational seminars to clients and staff • Work with other members of the HIM Consulting Division on Senior Level Projects

• Coordinate onboarding of new consultants including assessing any potential gaps and opportunities for training and support. • Provide support and direction to Coding Audit Consultants about project requirements. • Manage staff utilization by collaborating with client success managers and scheduling resource coordinator about staffing needs for clients and work to ensure project staffing needs are met, with minimal downtime. • Monitor the performance metrics (quality, productivity, etc.) for the team and identify coaching opportunities to grow the skills of the team and elevate the overall metrics and excellence of all. • Collaborate with the Quality Management (QM) Team to ensure quality expectations are achieved and opportunities for development are identified. • Serve as QM auditor for Audit Consultants as requested or as identified in specific circumstances. • Manage consultant schedules including approving timesheets, PTO requests, LOA, etc. • Actively engage with Recruiters to identify and participate on the interview team to identify potential and hire candidates. • Be a talent magnet and leverage professional network and demonstrate expertise through market facing activities including professional organizations, speaking, or serving as a UASI Ambassador. • Collaborate with the Client Success Managers and QM Team to provide feedback about performance against expectations.