Director, HRMA | Forensic & Litigation Consulting

Who We Are

FTI Consulting is the leading global expert firm for organizations facing crisis and transformation. We work with many of the world’s top multinational corporations, law firms, banks and private equity firms on their most important issues to deliver impact that makes a difference. From resolving disputes, navigating crises, managing risk and optimizing performance, our teams respond rapidly to dynamic and complex situations.

At FTI Consulting, you’ll work side-by side with leaders who have shaped history, helping solve the biggest challenges making headlines today. From day one, you’ll be an integral part of a focused team where you can make a real impact. You’ll be surrounded by an open, collaborative culture that embraces diversity, recognition, professional development and, most importantly, you.

Are you ready to make your impact?

About The Role

The Healthcare Risk Management & Advisory (HRMA) practice is a high-performing team that works across both corporate engagements and litigation matters to deliver data-driven solutions to our clients. The healthcare industry is one of the largest, most dynamic, and complex sectors of the world economy and the HRMA team delivers strategic, analytical, financial, data mining and operational expertise through teams who understand the unique industry and regulatory environment in which our clients operate. 

We serve clients across the healthcare continuum, including health systems, payors, and life sciences companies, as well as the law firms, banks, and private equity firms with whom they do business.  We provide these clients with operational consulting and advisory services that are designed to help them optimize their performance and respond to strategic, operational, regulatory and financial challenges in an industry undergoing unprecedented change.  Our multi-disciplinary team is comprised of consultants with expertise in data analytics, finance, accounting, economics, information technology and healthcare operations and regulations, and includes former healthcare executives and medical practitioners all of whom are focused on delivering meaningful results in order to manage change, mitigate risk, ensure compliance, resolve disputes, execute significant business transactions and improve performance. 

What You’ll Do

Our Directors work within diverse teams of professionals that include experienced nurse reviewers, coding professionals, and physicians to assist clients and counsel in reviewing medical records to independently evaluate the services provided and compliance with various regulations.  Reviews may focus on particular coding issues, medical necessity, or clinical documentation improvement. Directors are asked to review medical records, document their findings and rationale for decisions (based on coding, clinical or regulatory requirements) and discuss them with project management, client and counsel.

• Examine outpatient, physician office, and inpatient medical records; review principal and secondary diagnoses and procedures, applying strong understanding of clinical documentation and care delivery workflows.

• Validate accuracy of code assignments (ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, HCCs) and confirm appropriate reimbursement based on medical record documentation.

• Ability to research billing, coding, and reimbursement regulations and summarize issues for discussions with client and counsel, citing relevant regulatory sources

• Articulates complex coding and clinical terminology or ambiguous guidance for client and counsel.

• Prepare detailed written analyses of medical record reviews and coding findings, including citations to applicable regulatory requirements and coding guidelines.

How You’ll Grow  

We are committed to investing and supporting you in your professional development and we have developed a range of programs focused on fostering leadership, growth and development opportunities. We aim to promote continuous learning and individual skills development through on-the-job learning, self-guided professional development courses and certifications. You’ll be assigned a dedicated coach to mentor, guide and support you through regular coaching sessions and serve as an advocate for your professional growth.   

As you progress through your career at FTI Consulting, we offer tailored programs for critical professional milestones to ensure you are prepared and empowered to take on your next role. 

What You Will Need To Succeed  

• Ability to work both independently and as part of a team in a fast-paced, multi-task environment with a strong attention to detail.

• Ability to interface and be collaborative with team members and client personne