Provider Performance & Coding Consultant

HealthARCH; Town of Florida (NY); On-site; USD 90,000 - 140,000; Full time

Job summary

HealthARCH is seeking a Provider Performance & Coding Consultant to guide medical practices toward higher performance, accurate coding, and compliant workflows. This hands-on, client-facing role leads projects, educates providers, and supports healthcare transformation across diverse client sites.

You will optimize EHR integrations, monitor regulatory changes (MIPS, quality programs), and present actionable insights to clients while collaborating with a multidisciplinary team.

Qualifications

• Medical coding certification (CPC/CCS) preferred
• HEDIS knowledge and Medicare Advantage familiarity
• Experience with EHR systems and chart auditing
• Understanding of healthcare revenue cycles and quality improvement methods

Responsibilities

• Lead projects from kickoff to completion with client teams
• Educate providers on documentation, coding, and billing best practices
• Coordinate EHR adoption, configuration, and optimization
• Stay current with healthcare regulations, trends, and payer programs
• Create and maintain performance dashboards and reports
• Support client acquisition and revenue-generating activities

Skills

Project management

Client engagement

Education & training

Communication

Public speaking

Microsoft Office

Education

Bachelor's degree in Health Informatics

Tools

EHR systems

Chart auditing

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