Boca Raton, FL10 days ago
Serve as the senior US-based SME on complex coding domains by staying current with CMS rule cycles (IPPS, OPPS, MPFS, MS/APR-DRG), AHA Coding Clinic, CPT Assistant, payer policy shifts, OIG work plans, and emerging audit/denial trends; translate these complex regulatory updates (including ICD-10, CPT, E&M MDM guidelines, and HCC v24/v28) into client-relevant talking points and unique proposal differentiators. Identify tangible value levers - net revenue uplift, denial reduction, AR-days compression, CMI capture, audit recovery avoidance, FTE arbitrage - and intangible value levers - physician satisfaction, CDI maturity, compliance posture, audit defensibility, leadership bandwidth, scalability and time-to-staff.