Provider Performance Consultant

4 days ago

Maitland, New South Wales, Australia beBeeHealthcare Full time $90,000 - $120,000
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

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