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SMART is a software application that is sold with and without consulting services. For partnership tax purposes, the technology component of the practice resides in PricewaterhouseCoopers Product Sales LLC. The LLP provides consulting services and resides in PricewaterhouseCoopers LLP and provides recurring client services at an hourly rate.

Other HIM professionals are located in the Albany office as well as in other regions of the country, and support the consulting service which is sold with the SMART software (for additional fees on an hourly basis). These professionals support both SMART development and consulting. The HIM consultants and this practice use the SMART software as an internal resource for their engagements.

The healthcare industry continues to experience major federal regulatory changes e.g., Recovery Audit Contractor (RAC) and the American Recovery and Reinvestment Act of 2009 (ARRA). These changes present opportunities for consulting and pull through revenues where we can assist our clients in working through these major regulatory changes. Clinical documentation improvement will continue to be a focus for providers as they try to determine how physician and coding practices need to change in response to these new systems so that revenues will not be at risk. The SMART application and the HIM consulting staff are critical resources to support these pull through consulting opportunities.

Our NY Metro Health Industries Advisory practice is seeking Senior Associates for our HIM consulting practice. In this role, you will provide the firm's clients with consulting advice on coding quality, regulatory compliance, clinical documentation improvement and hospital revenue cycle integration. Candidates must be familiar with the guidelines and regulations related to inpatient and outpatient coding and coding compliance and be able to assist with performing periodic, on site coding evaluations, communicate findings to coders and management, and prepare summary evaluation reports.

As a Senior Associate, some of your responsibilities will include:

Performing ICD-9-CM inpatient periodic coding evaluations for clients (including case selection, reviewing medical records for coding accuracy, clinical documentation issues,s, data analysis, etc.)
Help to develop, modify and improve application flags, logic and reports
Recognizing and developing suggestions for improvement in client processes or procedures and communicating to the client
Preparing summary reports in a concise, timely manner
Developing and maintaining strong client relationships
Performing other coding related evaluations for clients as indicated by engagement requirements
Traveling on site for periodic reviews and other engagements
Flexibility to meet deadlines

Education Required
Bachelor's Degree plus
One or more of the following: RHIT, RHIA.

Job Requirements
3 - 5 years healthcare inpatient coding experience (including ICD-9-CM and MS-DRG, AP-DRG, APR-DRG coding experience). Working knowledge of MS-DRGs, APR-DRGs, PPS regulations and coding compliance; ability to communicate effectively verbally and in writing; strong technology skills including database and business intelligence applications. Strong written and oral communication skills. Willingness to travel - approximately 75%.