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Provider & Coding Consultant

Job in Maitland, Orange County, Florida, 32794, USA
Listing for: UCF Health
Full Time position
Listed on 2025-12-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Position: Provider Performance & Coding Consultant

Overview

Career Opportunities with UCF Clinical LLC

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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.

Responsibilities

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
Qualifications

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

  • 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)
  • 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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