Ankura is a team of excellence founded on innovation and growth.

Practice Overview:

Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most prominent US health care providers, payers, and law firms.

Role Overview:

Our directors use their industry knowledge related to billing, coding, and clinical operations, along with their project management capabilities, to develop custom solutions for clients facing high-profile and complex investigations and commercial disputes. The context for the projects we perform includes government investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.

Responsibilities:

Proficient in medical coding, billing, and documentation requirements

Works with Project Managers to analyze and understand client concerns and develop 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 paper documentation

Drafts clear and concise analyses of medical record review and coding findings 

Ensures successful completion of high-quality project deliverables as assigned and within the desired timeframe

Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships

Able to multi-task, prioritize client work, and assist with Project Management

Identifies opportunities for cross practice collaboration

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:

Bachelor’s degree in nursing from an accredited college/university

Certified in health care coding– inpatient, outpatient, and professional services

Experience in clinical setting utilizing nursing education and training

Familiar with revenue cycle processes 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 Excel, 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 when 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.

For individuals assigned and/or hired to work in California, Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled.  The range does not include additional benefits outside of salary. At Ankura, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each role. A reasonable estimate of the current base pay range is between $85,000 to $200,000; this range is not a promise of a particular wage.

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Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email accommodations@ankura.com 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.