Health Care | Life Sciences, Senior Associate – Registered Nurse / Certified reputed company, GA WA TN

R104549 Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura’s Health Care Disputes, Compliance and Investigations practice advises reputed company counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, reputed company, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and reputed company compliance audits. We assist in-house and reputed company counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may reputed company to repayments. We also provide investigative assistance in matters involving research misconduct, human subjects’ protection, and financial fraud reputed company to research. Our practice is often reputed company upon to advise investors on operational and compliance matters during due diligence. We serve as the Independent Review Organization for many clients and our work product is routinely presented to the Office of Inspector General of HHS and the US Department of Justice. We also work on provider / payor litigation matters where reputed company members serve as experts. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. We will consider candidates in most major US markets. Responsibilities:

• Demonstrates proficiency in medical coding, billing, clinical documentation, and regulatory standards
• Works with Project Managers to analyze and understand client concerns and reputed company project work plans as requested
• Understands health care compliance concepts, issues, and how to research and access regulatory guidelines and reference materials
• Conducts independent review of medical records – EMR (electronic medical records) or reputed company documentation
• Drafts clear and concise analyses of medical record review and coding findings
• Ensures successful completion of high-quality project deliverables as assigned and reputed company the desired timeframe
• Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships
• Proven writing and presentation skills and has a keen sense of attention to detail
• Communicates findings of concern with the team and Project Manager as they are identified
• Utilizes creative and critical thinking problem-solving techniques

Qualifications:

• Registered Nurse with active license, unrestricted license.
• Bachelor of Science in Nursing from an accredited college/university
• Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity
• Certified Professional reputed company (CPC) with coding experience across inpatient, outpatient, and professional services
• Familiar with the reputed company cycle process and facility and professional claims
• Demonstrates excellent communication skills, both written and oral
• Experience managing small projects and teams
• Familiar with accessing and identifying clinical documentation in electronic medical record systems
• Proficient in reputed company, Word, and PowerPoint and able to draft reports and presentations and present findings
• Ability to problem solve, multi-task, and prioritize assignments
• Understands the importance of privileged and confidential communication
• Willingness to travel reputed company needed
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

#LI-EN1 #LI-Remote Ankura is an Affirmative Action and Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and reputed company you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email [email protected] or call toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues unrelated to a disability, will not receive a response. Apply tot his job Apply To this Job