Director, HRMA | Forensic & Litigation Consulting (Washington)

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.

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 specialists who understand the unique regulatory environment in which our clients operate.

What You’ll Do

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 services provided and compliance with regulations. The responsibilities include:

• Review medical records and document findings and rationale for decisions based on coding, clinical or regulatory requirements.
• Examine outpatient, physician office, and inpatient medical records; review principal and secondary diagnoses and procedures, applying a 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 documentation.
• Research billing, coding, and reimbursement regulations and summarize issues for discussion with client and counsel, citing relevant regulatory sources.
• Articulate 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.

What You’ll Grow

We are committed to investing in your professional development through a range of programs focused on fostering leadership, growth and development opportunities. You will receive a dedicated coach, mentoring, and advocacy for your professional growth, as well as tailored programs for critical career milestones.

What You Will Need To Succeed

• Ability to work independently and as part of a team in a fast-paced, multi-task environment with strong attention to detail.
• Collaboration with team members and client personnel in demanding, deadline-driven situations.
• Excellent written and verbal communication, and organizational skills.
• Flexibility with respect to assigned tasks due to changing deadlines, deliverables, and priorities.
• Strong work ethic, eagerness to learn, and motivation to succeed.
• Basic qualification: Bachelor’s Degree.
• Current or active coding certification: CPC, CCS, or COC.
• 5+ years medical coding or clinical documentation improvement experience, preferably in consulting.
• Proficiency with grouper software and coding reference books to determine appropriate code assignment.
• Experience using EMR systems such as EPIC, Cerner, Athena, or AdvancedMD.
• Proficient use of Microsoft Office Suite.
• Willingness to travel periodically (up to 30% annually).
• Must be authorized to work in the United States on a full-time basis; no visa sponsorship.

Basic Qualifications

• Bachelor's Degree.
• Current/active coding certification: CPC, CCS, or COC.
• 5+ years medical coding or clinical documentation improvement experience.
• Proficient with grouper software and coding reference books.
• Experience with EMR systems (EPIC, Cerner, Athena, AdvancedMD).
• Proficient in Microsoft Office Suite.
• Willingness to travel up to 30% annually.
• Authorized to work in the United States.

Preferred Qualifications

• Knowledge of APC assignment logic, NCCI edits, ICD‑10‑CM/PCS Official Coding Guidelines, AHA Coding Clinic, and CPT Assignment coding guidelines.
• Medical Laboratory Scientist (MLS) certification or equivalent laboratory experience.
• Testifying, mediation or arbitration experience.
• Experience in auditing and monitoring fundamentals.

Equal Opportunity Employer

FTI Consulting is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.

Compensation

Minimum Pay: $91,000 | Maximum Pay: $278,000