Provider Operations - Consulting Coding Specialist

Pwc Pittsburgh , PA 15201

Posted 2 months ago

A career within Operations Consulting services, will provide you with the opportunity to help our clients optimise all elements of their operations to move beyond the role of a cost effective business enabler and become a source of competitive advantages. We focus on product innovation and development, supply chain, procurement and sourcing, manufacturing operations, service operations and capital asset programmes to drive both growth and profitability.

To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

  • Use feedback and reflection to develop self awareness, personal strengths and address development areas.

  • Delegate to others to provide stretch opportunities, coaching them to deliver results.

  • Demonstrate critical thinking and the ability to bring order to unstructured problems.

  • Use a broad range of tools and techniques to extract insights from current industry or sector trends.

  • Review your work and that of others for quality, accuracy and relevance.

  • Know how and when to use tools available for a given situation and can explain the reasons for this choice.

  • Seek and embrace opportunities which give exposure to different situations, environments and perspectives.

  • Use straightforward communication, in a structured way, when influencing and connecting with others.

  • Able to read situations and modify behavior to build quality relationships.

  • Uphold the firm's code of ethics and business conduct.

Job Requirements and Preferences:

Basic Qualifications:

Minimum Degree Required:

Bachelor Degree

Minimum Years of Experience:

5 year(s)

Certification(s) Required:

At least (1) of the following: CPC, CCS, CRC and ICD-10-CM

Required Knowledge and Skills:

Demonstrates thorough abilities and/or a proven record of success in the following areas:

  • Understanding professional charge capture from patient access to billing;

  • Providing specialty specific education and training to physicians, clinicians and ancillary service areas;

  • Having an understating of EPIC/Cerner from an EHR perspective; and,

  • Performing documentation and coding assessments as well as understanding related billing practices including CPT-4, ICD-9 and ICD-10, medical procedures, and patient encounters by clinical service providers (physicians) and hierarchical condition category (HCC) coding.

Preferred Qualifications:

Degree Preferred:

Master Degree

Preferred Fields of Study:

Health Administration

Preferred Knowledge/Skills:

Demonstrates thorough abilities and/or a proven record of success in the following areas:

  • Delivering significant healthcare provider and physician practice business results that utilizes strategic and creative thinking, problem solving, individual initiative, and the following abilities: Leading project work streams, emphasizing the ability to build collaborative relationships with team members, and also work autonomously with little direction;

  • Communicating effectively in written and verbal formats to various situations and audiences; and,

  • Managing and conducting quantitative and qualitative benchmarking and primary and secondary analyses of large and complex data.

For positions in Colorado, visit the following link for information related to Colorado's Equal Pay for Equal Work Act:

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy:

For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance.


Please note that, at this time, to be in-person at a PwC office, client location or PwC-sponsored events, you must be fully vaccinated against COVID-19.


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Provider Operations - Consulting Coding Specialist