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What are the key skills and qualifications needed to thrive in the Mips consulting position, and why are they important?

To thrive in MIPS Consulting, you need a solid understanding of healthcare compliance, quality improvement, and data analytics, often supported by relevant healthcare or IT degrees. Familiarity with Merit-based Incentive Payment System (MIPS) requirements, CMS reporting tools, and quality measurement platforms is crucial. Strong communication, analytical thinking, and project management skills enable consultants to deliver impactful results for healthcare organizations. These competencies ensure accurate guidance and efficient support, helping clients achieve compliance and maximize incentives.

What is a Mips consulting?

A MIPS Consulting job involves advising healthcare providers on the Merit-based Incentive Payment System (MIPS), which is part of Medicare's Quality Payment Program. Consultants help medical practices improve performance scores by optimizing quality reporting, cost efficiency, and technology use. They analyze data, ensure compliance with regulations, and implement best practices to maximize reimbursements. Their expertise helps healthcare organizations navigate complex Medicare requirements and avoid penalties while improving patient care.

What are typical responsibilities of a Mips consultant and how do they interact with client organizations?

MIPS Consultants are responsible for assessing healthcare providers' current reporting practices, developing strategies to meet MIPS requirements, and assisting with data collection and submission. They frequently collaborate with interdisciplinary teams within client organizations, including IT staff, clinical leaders, and administrative managers, to implement performance improvement plans. Consultants often conduct training sessions, analyze performance metrics, and provide ongoing support throughout the reporting cycle. This dynamic role involves both independent analytical work and close teamwork to ensure clients achieve regulatory compliance and maximize quality-related reimbursements.

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What job categories do people searching Mips Consulting jobs in Florida look for? The top searched job categories for Mips Consulting jobs in Florida are:
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Mips Consulting jobs near you
Infographic showing various Mips Consulting job openings in Florida as of August 2026, with employment types broken down into 79% Full Time, and 21% Contract. Highlights an 100% In-person job distribution.

Provider Performance & Coding Consultant

HealthARCH

Maitland, FL • Remote

Other

Re-posted 29 days ago

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. Youll 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
  • Bachelors 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

Apply