Description:
We are seeking an experienced Director of Consulting Services to join our team in a consultative, hands-on capacity to support client engagements focused on evaluating and optimizing charging and coding practices across hospital and professional service lines. This individual will serve as a subject matter expert in clinical coding and revenue integrity/charge capture, leading assessments and initiatives that drive compliance, accuracy, and revenue integrity across client engagements.
This Director will partner with client stakeholders to analyze current-state workflows, evaluate Charge Description Master (CDM) alignment, validate coding accuracy, and implement actionable recommendations that strengthen mid-cycle performance as well as front and back-end performance.
This role is ideal for a hands-on professional who thrives in a fast-paced consulting environment and can translate regulatory requirements into operational improvements. The Director serves as a key driver of sustainable mid-cycle improvements that enhance accuracy, standardization, and financial integrity across client organizations.
**This role initially requires weekly travel (M-Th) to the Greater Dallas, TX area but will scale back after a few months to less frequent travel.**
Key Responsibilities:
- Perform detailed assessments of charging and coding practices across facility and/or professional services (i.e., complex service lines such as cardiology and neurosurgery) to identify compliance risks, revenue leakage, and process inefficiencies.
- Evaluate Charge Description Master (CDM) structure, charge capture workflows, and coding alignment with CPT, HCPCS, ICD-10, and payer-specific requirements.
- Analyze documentation, coding patterns, and charge utilization to identify optimization opportunities and root causes of revenue variance.
- Develop structured findings, gap analyses, and prioritized recommendations aligned to regulatory guidance and industry best practices.
- Lead project workstreams focused on implementation of charging and coding improvements, including workflow redesign, charge capture controls, and CDM updates.
- Partner with client operational leaders, revenue integrity teams, compliance, and clinical departments to support adoption of recommended changes.
- Translate complex regulatory requirements into practical operational guidance.
- Support development of executive-level summaries outlining financial impact, compliance exposure, and implementation roadmap.
- Collaborate with cross-functional teams to ensure alignment between clinical documentation, coding, and charge capture processes.
- Utilize Epic and/or other EHR reporting tools to validate charge logic, identify trends, and support data driven recommendations.
- Maintain project documentation including status updates, issue tracking, and mitigation strategies.
- Travel to client or organizational sites as required to support on-the-ground project execution.
Requirements:
Required:
- Active CCS, CPC, or equivalent coding credential required.
- Demonstrated hands-on coding experience, with specialty expertise in cardiology and neurosurgery.
- Prior experience leading or participating in charging assessments and CDM reviews.
- Strong project management skills with the ability to manage multiple initiatives simultaneously.
- Experience presenting to and communicating with executive-level audiences.
- Proficiency in Epic required.
- Experience with Charge Description Master structure, maintenance practices, and charge capture workflows.
- Proficiency in Epic or comparable EHR systems, including reporting functionality.
- Ability to interpret data and translate findings into actionable operational recommendations.
- Strong written and verbal communication skills with ability to present findings to operational and executive stakeholders.
- Ability to manage multiple workstreams in a project-based environment.
- Consulting experience strongly preferred but not required.
- Willingness and ability to travel as needed.
