Job Description
Provider Performance & Coding Consultant Transform healthcare. Empower providers. Improve lives. Position Description Are you passionate about improving healthcare delivery and helping providers succeed in a changing landscape? As a Provider Performance & Coding Consultant, you play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows. You will help providers transition from traditional fee-for-service models to value-based care, ensuring they deliver high-quality care while maintaining financial health. This is a hands-on, client-facing role where you lead projects, educate providers, and support healthcare transformation. You’ll work with a diverse team of professionals who are committed to making a difference in patient outcomes and provider success. Job Functions and Duties Client Engagement and Project Leadership • Manage the full lifecycle of client projects, from kickoff to completion • Develop customized work plans with clear goals, timelines, and deliverables • Coordinate resources and activities across multiple practices • Ensure projects meet quality standards and deadlines Provider Education and Support • Train providers and staff on documentation, coding, and billing best practices • Prepare practices for audits and regulatory reviews • Present performance insights and improvement strategies • Serve as a trusted advisor on healthcare regulations and payer requirements Workflow Optimization and Technology Integration • Act as liaison between practices and electronic health record (EHR) vendors • Support EHR adoption, configuration, and optimization • Recommend workflow improvements to enhance efficiency and compliance • Help practices align with MIPS, Promoting Interoperability, and other programs Regulatory and Program Guidance • Stay current with healthcare regulations, trends, and payer programs • Educate clients on changes affecting coding, billing, and performance metrics • Support practices in meeting public health agency requirements Reporting and Communication • Create and maintain weekly/monthly performance dashboards and reports • Communicate project updates and recommendations clearly and professionally • Collaborate with supervisors to review goals, progress, and challenges Business Development and Revenue Support • Assist with client acquisition and retention strategies • Support Fee-for-Service consulting and other revenue-generating activities • Promote services and solutions that enhance client performance Knowledge, Skills, and Abilities Required Knowledge and Experience • Medical coding experience (certification from AAPC or AHIMA required) • HEDIS knowledge and Medicare Advantage familiarity • Experience with EHR systems and chart auditing • Understanding of healthcare revenue cycles and quality improvement methods Preferred Knowledge and Experience • Certified Risk Adjustment Coder (HCC coding) • Experience with practice transformation or process improvement • Familiarity with Patient-Centered Medical Home models • Knowledge of MIPS, Promoting Interoperability, and clinical operations • Bachelor’s degree in Health Informatics, Health Services Administration, or related field Skills and Abilities • Strong project management and organizational skills • Ability to work independently and manage multiple priorities • Excellent written and verbal communication skills • Comfortable with public speaking and client presentations • Proficient in Microsoft Office (Outlook, Excel, PowerPoint, Word) • Self-motivated, proactive, and adaptable in a fast-paced environment • Knowledge of medical terminology and ability to apply it appropriately Licenses, Certifications, and Legal Requirements • Certified Professional Coder (CPC), Certified Coding Specialist (CCS) • Certified Risk Adjustment Coder (CRC) preferred • Must meet all legal requirements for healthcare consulting roles Work Schedule • Monday to Friday, 8:00 AM – 5:00 PM • Occasional variations may include early mornings, evenings, or overnight travel based on client location/needs Apply tot his job