We are seeking a skilled Provider Performance Expert to join our team. This is a dynamic role that requires strong project management skills, excellent communication abilities, and a passion for empowering healthcare providers.
Job Description
We are looking for a highly motivated individual who can lead the way in improving provider performance and coding practices. As a Provider Performance Expert, you will play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows.
This is a hands-on, client-facing role where you will 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.
Key Responsibilities:
* 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
* 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
Requirements:
* 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
* 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
* 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)
* 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