AI-Driven Healthcare Process Consultant

R1-Rc; Gautier (MS); Remote; USD 114,000 - 227,000; Full time

Job summary

R1 RCM Inc. in Gautier, Mississippi, is seeking a Mid-Cycle Forward Deployed Process Consultant to bridge executive strategy with on-site execution, focusing on medical coding, healthcare metrics, and process optimization.

You will partner with process engineers and client teams to map current workflows, define future state designs, and guide AI-driven coding improvements. Strong communication with leadership and staff, plus practical change management, will help deliver measurable value and

Qualifications

• AAPC or AHIMA Certified coding professional CIC/CPC/CCS/RHIA/RHIT required.
• Experience in healthcare client-facing consulting.
• Excellent communication skills and ability to influence stakeholders.
• Proficiency in data analysis, cross-functional collaboration and problem-solving.
• Significant experience in project management, process improvement and implementation support.
• Strong knowledge of ICD-10-CM/PCS and CPT/HCPCS coding guidelines and reimbursement methodologies.

Responsibilities

• Partner with Process Engineers and consulting teams to deliver Phare Claim solutions by creating a product vision document, product roadmap and future state process flow.
• Translate business requirements into technical architecture and implementation plans by conducting a current state mid-cycle assessment including standard operating procedures and process mapping.
• Provide technical and operational coding guidance throughout the engagement.
• Design implementation and stakeholder communication plan for client-specific use cases.
• Design end user technology training and change management plan to drive adoption and create feedback loop for ongoing support.
• Develop sustainable mechanisms to monitor KPIs and SLAs that provide measurable value creation and performance tracking for steady state operations.
• Collaborate with executive teams to align medical coding processes with strategic objectives.
• Analyze and optimize medical coding workflows leveraging AI technology to enhance efficiency and effectiveness.
• Serve as a liaison between executive leadership and operational teams to ensure seamless communication and implementation of best practices.

Skills

AAPC/AHIMA cert

Healthcare consulting

Communication

Data analysis

Project management

ICD-10-CM/PCS & CPT/HCPCS knowledge

Job description

R1 RCM Inc. in Gautier, Mississippi, is seeking a Mid-Cycle Forward Deployed Process Consultant to bridge executive strategy with on-site execution, focusing on medical coding, healthcare metrics, and process optimization.

You will partner with process engineers and client teams to map current workflows, define future state designs, and guide AI-driven coding improvements. Strong communication with leadership and staff, plus practical change management, will help deliver measurable value and