Healthcare Regulatory Senior Consultant

Deloitte & Touche USA LLP is the U.S. member firm of Deloitte Touche Tohmatsu and services are provided by its subsidiaries, including Deloitte & Touche LLP, Deloitte Consulting LLP, Deloitte Financial Advisory Services LLP and Deloitte Tax LLP. Deloitte & Touche USA LLP’s subsidiaries are among the nation’s leading professional services firms, providing audit, tax, consulting, and financial advisory services through nearly 30,000 people in more than 80 cities. Known as employers of choice for innovative human resources programs, they are dedicated to helping their clients and people excel.AERS provides integrated services including audit, control assurance, regulatory consulting and enterprise risk management that identify risks and opportunities beyond the traditional financial reporting function.
 
Professionals within AERS develop specialized knowledge in areas that are vital to clients' businesses. Primary services include:
 
         External Audit Services
         Internal
Audit Services
         Business Process and IT Risk and Control
         Corporate Governance Services
         Merger & Acquisition Services
         Regulatory Consulting
         Capital Markets Services
         Global Offerings Services
         Venture Capital Services
Our external audit services include:
 Audits of financial statements including reviews of quarterly financial information
 Audits of internal control over financial reporting (as required by Section 404 of the Sarbanes Oxley Act)
 Agreed upon procedures
 Other attest related services
The trend toward aggressive regulatory oversight activities shows no sign of diminishing. We can evaluate the impact of new regulations on businesses and develop appropriate compliance systems. Using a multidisciplinary approach to regulatory affairs that integrates securities, financial services specialists, former regulators and government officials, we create solutions that ensure compliance and
improve overall organizational efficiency. Our advisors are cross-trained to handle regulatory compliance and credit, market and operational risks for all segments of the industry.
Our Regulator Consulting Services include:
 Internal Control Assessment
 Regulatory Compliance Structures
 Policy and Procedures Review
 Inspections and Deficiencies Support
 SEC Enforcement Proceedings Support
 Compliance Design and ImplementationDemonstrated Abilities:
For positions in the area of provider operations, we are looking for candidates who have:
  5+ years' experience in a provider setting
  A background with medical terminology and/or certification in medical coding (e.g. CCS-H, CCS-P, CPC- H, CPC- P, RHIT or RHIA)
  Experience in at least one of the following areas:
  Evaluating process and system compliance with the laws and regulations that impact the patient account revenue cycle
  Chart-to-bill audits
 Coding compliance assessments
 Experience
in the following areas of a hospital setting is preferred:
  Patient Access - scheduling, registration and financial counseling
  ICD-9, CPT-4 and HCPCS code assignment and charge description master a plus
  DRG Validation Studies
  Billing - CMS UB92 and/or HCFA 1500 
  Patient Accounting/Finance
  Denial Management and Case Management - UR/UM
For positions in the area of Life Sciences, we are looking for candidates who have proficiency in any or all of the following:
  Good Manufacturing Practices
  Good Clinical Practices
  Good Laboratory Practices
  Commercial regulations (such as OIG)
 Pricing, price reporting, contracting and rebatesDeloitte & Touche USA LLP and its subsidiaries ("the Deloitte US Firms") are equal opportunity employers.Deloitte refers to one or more of Deloitte Touche Tohmatsu, a Swiss Verein, its member firms and their respective subsidiaries and affiliates. As a Swiss Verein (association), neither Deloitte Touche
Tohmatsu nor any of its member firms has any liability for each other’s acts or omissions. Each of the member firms is a separate and independent legal entity operating under the names “Deloitte,” “Deloitte & Touche,” “Deloitte Touche Tohmatsu,” or other related names. Services are provided by the member firms or their subsidiaries or affiliates and not by the Deloitte Touche Tohmatsu Verein.
Deloitte & Touche USA LLP is the U.S. member firm of Deloitte Touche Tohmatsu. In the U.S., services are provided by the subsidiaries of Deloitte & Touche USA LLP (Deloitte & Touche LLP, Deloitte Consulting LLP, Deloitte Financial Advisory Services LLP, Deloitte Tax LLP and their subsidiaries), and not by Deloitte & Touche USA LLP.
REQUIREMENTS
Please see Job Description