Huron Consulting Group

• Assess current state processes for alignment with policies, procedures, and regulations • Identify regulatory gaps and develop recommendations for changes to procedures and documentation • Perform transaction testing to confirm adherence to policies, procedures, and regulations • Create and maintain detailed supporting work papers • Manage large data sets, troubleshoot, and develop processes for collecting and aggregating data effectively and efficiently • Synthesize data into Key Risk Indicators and Key Performance Indicators • Communicate effectively with the client, team members, and management • Create and maintain client deliverables such as assessment/audit reports, risk assessments, work papers, and reporting decks • Meet deadlines and work under pressure when required

• Actively manage and influence operational and financial health of Digital Capability • Support annual budgeting and quarterly financial forecast processes • Own Digital Operations financial cadence • Support sales analytics including reporting, predictive modeling, and commission tracking • Coordinate with Enterprise functions to achieve business unit objectives • Review reports and analyses with Digital operations leadership • Monitor and action expense categories and internal budgets • Support month end close process with accurate information • Perform various ad hoc financial analysis and reporting as needed

• Guide clients in the design, implementation, and optimization of service capture strategies • Lead consulting engagements that enhance revenue integrity and operational performance • Develop and manage comprehensive project workplans • Oversee the development, review, and quality assurance of all client deliverables • Evaluate clinical workflows, charge entry practices, and billing compliance processes • Serve as a trusted advisor to client stakeholders • Present findings and recommendations to clinical, operational, and executive audiences • Manage multiple client engagements and priorities • Lead and develop team members through coaching, mentorship, performance feedback, and professional development

• design, operationalize, and scale the Customer Success (CS) model for Huron’s Healthcare Insights portfolio • establish a cohesive, enterprise-ready CS framework that can be extended across adjacent products • define and operationalize a coordinated service structure, including: Base SaaS offerings (self-service model), Managed services, Buy-up / enhancement services • build, lead, and develop a high-performing CS Insights program • own and mature the Engagement Health program for monitoring and improving client outcomes • establish and scale a formal account management capability across Insights products • define the end-to-end customer lifecycle model • support the broader vision of a unified Healthcare Insights platform

• Responsible for the auditing of coders and/or "audit the auditors" to ensure coding accuracy of a minimum of 95% is met. • Perform quality checks/audits on visits coded as per client SOPs. • May assist in preparing audit reports, share direct feedback to coders and auditors. • Conduct analysis and present summary of findings to leadership in a clear, concise, convincing format. • Maintain a high degree of professional and ethical standards.

• work in conjunction with other Huron and client team members • lead the implementation life cycle including planning, configuration, design, build, conversion, training, go-live and post-production support • perform a wide range of functions in a highly-dynamic position with considerable visibility • execute well-developed talents and embrace career growth

Role Description The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. Key Responsibilities - Knows, understands, incorporates, and demonstrates Huron’s Vision and Values in behaviors, practices, and decisions. - Responsible for the auditing of inpatient coders and/or inpatient “audit the auditors” to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. - Perform quality checks/audits on visits coded as per client SOPs. - Perform calibration audits. - Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders. - May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings. - Firm understanding of the clinical documentation guidelines. - Monitor compliance of coding guidelines and ensure errors identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. - Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format. - Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of ICD-CM diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments. - Ensures capture/reporting of appropriate code(s) by utilizing coding guidelines established by: - The Centers for Disease Control (CDC) - ICD-CM Official Coding Guidelines for Coding and Reporting - Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting - American Hospital Association (AHA) Coding Clinic for ICD-CM - American Health Information Management Association (AHIMA) Standards of Ethical Coding - Client coding procedures and guidelines - Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement. - Reviews inpatient health record documentation to assess the presence of clinical evidence/indicators to support diagnosis codes and MS-DRG, APR DRG assignments to potentially decrease denials. - Maintains a high degree of professional and ethical standards. - Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences. - Maintains CEUs as appropriate for coding credentials as required by credentialing associations. - Maintains current knowledge of changes in inpatient reimbursement guidelines and regulations as well as new applications or settings for inpatient coding. - Ensure patient information is correct and appropriate signatures are on all medical records. - Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation. - Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. - Perform other duties as assigned. Qualifications - Current permanent United States Work Authorization required. - Working in the United States Day shift schedule required. - 2+ years previous experience as an inpatient coding auditor. - 3+ years previous experience in coding inpatient hospital accounts. - Advanced proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint). - Analytical skills (problem solving, quantitative, workflow process, etc.). - Ability to pay close attention to details; strong follow-up and follow-through skills. - Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline-driven environment. - Requires the use of independent judgement, discretion and decision-making abilities. - Ability to interact with internal and external customers in a professional manner. - Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible. - Financial acumen and analytical skills are required. - Experience working with data from various sources preferred. - Familiarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis. - Desire to work as part of a team in a partnership role. - Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required. - Flexible and adaptable to changes. Physical Demands - This role requires remaining seated at a desk/computer for 8 hours daily. - Repetitive use of computer keyboard and mouse. - Use of computer monitors for 8 hours daily. - Interaction through video/audio conference calls and possible use of a headset with microphone. - Very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Technical Qualifications - Required Certifications: Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP). - Preferred Certifications: AHIMA microcredentials: “Auditing: Inpatient Coding (AIC)”, Registered Health Information Administrator (RHIA) preferred. - Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred. - Epic experience preferred. - Cerner experience preferred. - Meditech experience preferred. Key Performance Indicators (KPIs) - Expectations - Coding Auditing Productivity: ≥ 95% - DRG Accuracy Rate: ≥ 95% - Coding Accuracy: ≥ 95% - Query Compliance: 100% adherence to AHIMA/ACDIS standards Compensation The estimated pay range for this job is $38.46 - $52.40 per hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs.

• Partner with project team members and client stakeholders to design and implement effective solutions by leveraging proven methodologies and best practices • Leverage critical thinking skills in both data collection and complex analysis identifying data gaps and risks to develop sound conclusions and create implementable, sustainable recommendations for improvement • Effectively summarize information and present findings and recommendations to varying levels of Huron and client leadership • Provide direct supervision of junior project team members including coaching mentorship, leading teams, and providing feedback through performance management • Deliver solutions tailored to each client’s unique needs, enhancing both impact and accessibility across healthcare services

• Lead and direct teams in complex engagements, managing budgets, invoicing, and billing • Apply analytical and critical thinking skills to quantify benefits and develop solutions • Communicate effectively to understand client challenges • Build strong relationships and lead change processes • Lead and develop teams, including role definition, team building, coaching, mentoring, and performance management

• Lead complex performance improvement engagements, creating collaborative, high-performing environments and ensuring successful client outcomes • Manage engagement-wide economics, including budgets, revenue forecasting, margins, invoicing, and billing • Apply analytical and critical thinking skills to quantify benefits, identify risks, and develop solutions for performance improvement initiatives • Communicate effectively to understand client challenges, create customized solutions, and manage client expectations, delivering impactful presentations and proposals • Build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives