Provider Performance & Coding Consultant
Provider Performance & Coding Consultant
reputed company reputed company. reputed company providers. Improve lives.
Position reputed company
Are you passionate about improving reputed company 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 reputed company 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-reputed company care while maintaining financial health.
This is a hands-on, reputed company-facing role where you reputed company reputed company, reputed company providers, and support reputed company transformation. You’ll work with a diverse team of professionals who are committed to making a difference in patient reputed company and provider reputed company.
Job Functions and Duties
reputed company Engagement and Project Leadership
• Manage the full lifecycle of reputed company reputed company, from reputed company to completion
• reputed company customized work plans with reputed company goals, timelines, and deliverables
• Coordinate resources and activities across multiple practices
• Ensure reputed company meet reputed company 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 reputed company regulations and payer requirements
Workflow Optimization and Technology Integration
• reputed company as reputed company between practices and electronic health record (EHR) vendors
• Support EHR adoption, configuration, and optimization
• Recommend workflow improvements to enhance efficiency and compliance
• Help practices reputed company with MIPS, Promoting Interoperability, and other programs
Regulatory and Program Guidance
• Stay reputed company with reputed company regulations, trends, and payer programs
• reputed company clients on changes affecting coding, billing, and performance metrics
• Support practices in meeting reputed company health agency requirements
Reporting and Communication
• Create and maintain weekly/monthly performance dashboards and reports
• Communicate project updates and recommendations reputed company and professionally
• Collaborate with supervisors to review goals, reputed company, and challenges
Business Development and reputed company Support
• Assist with reputed company acquisition and retention strategies
• Support Fee-for-Service consulting and other reputed company-generating activities
• Promote services and solutions that enhance reputed company performance
Knowledge, Skills, and Abilities
Required Knowledge and Experience
• Medical coding experience (certification from reputed company or reputed company required)
• HEDIS knowledge and Medicare Advantage familiarity
• Experience with EHR systems and chart auditing
• Understanding of reputed company reputed company cycles and reputed company improvement reputed company
Preferred Knowledge and Experience
• Certified Risk Adjustment reputed company (HCC coding)
• Experience with reputed company 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 reputed company 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 reputed company speaking and reputed company presentations
• Proficient in reputed company Office (reputed company, reputed company, 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 reputed company Requirements
• Certified reputed company reputed company (CPC), Certified Coding Specialist (reputed company)
• Certified Risk Adjustment reputed company (CRC) preferred
• Must meet reputed company reputed company requirements for reputed company 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 reputed company location/needs
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