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