Managing Consultant – Coding, Middle Revenue Cycle, Healthcare

Berkeley Research Group (BRG)

. Lead and support qualitative and quantitative engagements focused on coding accuracy, compliance, productivity, timeliness, reimbursement, and financial performance .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $120,000 - $165,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare consulting with a focus on coding accuracy, compliance, and revenue cycle management. Proficient in leading project teams, managing engagements, and delivering actionable insights through data analysis and stakeholder collaboration.

Highest-signal resume keywords

Healthcare Consulting ExperienceCoding and Health Information Management ExpertiseProject Management and Team LeadershipRegulatory and Compliance KnowledgeAdvanced Proficiency in Microsoft Excel and PowerPoint

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding Accuracy AssessmentClinical Documentation IntegrityRevenue Cycle ManagementData Analysis and Financial ModelingICD-10-CM and CPT KnowledgeCoding Quality and ComplianceDenials Prevention StrategiesWorkflow Design and ImplementationPerformance ImprovementOperational Transformation

Soft Skills

Strong Written and Verbal CommunicationStakeholder EngagementMentoring and CoachingFacilitation of Client MeetingsTime Management

Tools & Technologies

Electronic Health Record SystemsPatient Accounting SystemsEncoder SoftwareComputer-Assisted Coding ToolsRevenue Cycle Systems

Certifications & Qualifications

RHIARHITCCSCPCCICCOCCCDSCDIPPMPLean Six Sigma

Industry Keywords

Middle Revenue CycleHealthcare AdministrationCompliance StandardsFinancial PerformanceQuality Assurance Programs

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Lead and support qualitative and quantitative engagements focused on coding accuracy, compliance, productivity, timeliness, reimbursement, and financial performance
Support expansion of BRG’s middle revenue cycle capabilities across coding, clinical documentation integrity, health information management, charge capture, revenue integrity, denials prevention, reimbursement, and related functions
Plan and manage small- to medium-sized coding and middle revenue cycle engagements and workstreams
Lead assessments of coding, clinical documentation integrity, health information management, and related middle revenue cycle operations
Develop project charters, work plans, staffing and budget plans, schedules, risk registers, client deliverables, and benefit realization models
Manage project teams, delegate work, review analyses and deliverables, and monitor scope, staffing, budgets, timelines, and engagement performance
Identify operational, financial, compliance, workforce, and technology opportunities; develop recommendations and implementation roadmaps
Present findings, recommendations, project progress, risks, and financial results to client leaders
Assess coding accuracy, compliance, productivity, timeliness, reimbursement, and financial performance across inpatient, outpatient, professional fee, and ambulatory coding
Evaluate workflows, staffing models, organizational structures, productivity standards, quality programs, management reporting, and performance management practices
Assess health information management and clinical documentation integrity processes and governance
Analyze denials, clinical validation issues, claim edits, payment variances, backlogs, documentation deficiencies, incomplete records, and late charges
Evaluate coding audit and quality assurance programs, internal/outsourced/hybrid coding models, policies, procedures, and controls
Design and support future-state operating models, workflows, governance, performance standards, and monitoring tools
Analyze coding, documentation, billing, claims, denials, workforce, and financial data; develop financial and benefit realization models
Build dashboards, KPIs, management reports, and monitoring frameworks
Assess coding, documentation, billing, claims, revenue cycle, encoder, analytics, and related technology systems
Evaluate automation, natural language processing, AI-enabled workflows, computer-assisted and autonomous coding capabilities
Support technology selection, implementation planning, workflow design, testing, adoption, training, and performance monitoring
Coordinate with technology, revenue cycle, clinical, compliance, finance, and operations teams
Build relationships with client executives and coding, health information management, clinical, compliance, and finance leaders
Collaborate across BRG’s coding, documentation, revenue integrity, patient financial services, managed care, analytics, digital, and operations teams
Develop analytical tools, benchmarks, implementation playbooks, templates, and supporting documentation
Support proposals, engagement scoping, pursuit presentations, client relationships, and follow-on opportunities
Contribute to articles, white papers, presentations, training, and thought leadership
Coach junior professionals through feedback, development support, and delegated responsibility

Requirements

What you’ll need

Five or more years of healthcare consulting or industry experience in coding, health information management, clinical documentation integrity, or related middle revenue cycle functions
A bachelor’s or master’s degree, such as a BS, BBA, MBA, MHA, MA, or MS, preferably in health information management, healthcare administration, business administration, finance, accounting, nursing, or a related discipline
An active RHIA, RHIT, CCS, CCS-P, CPC, CIC, COC, or comparable coding or health information management credential
Demonstrated consulting, performance improvement, process redesign, organizational transformation, or implementation experience in coding or the middle revenue cycle
Experience applying coding or health information management expertise beyond production coding or routine coding quality review
Experience leading assessments and implementation initiatives, managing concurrent workstreams, and delivering projects within scope, budget, and schedule expectations
Experience leading project teams, mentoring junior professionals, delegating assignments, and reviewing work products
Operational expertise in facility inpatient, facility outpatient, professional fee or ambulatory coding; health information management; clinical documentation integrity; computer-assisted or autonomous coding; coding quality and compliance; coding-related denials; discharged-not-final-billed management; or charge capture and revenue integrity
Current working knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, modifiers, and applicable official coding guidelines
Working knowledge of Medicare IPPS, OPPS, professional fee, and ambulatory reimbursement methodologies
Knowledge of MS-DRG and APC assignment, severity capture, risk adjustment, and financial and quality effects of coding and documentation practices
Experience assessing coding productivity, quality, turnaround time, staffing capacity, organizational structure, vendor performance, and management oversight
Familiarity with coding-related denials, clinical validation, medical necessity, claim edits, and payment variance root-cause analysis
Working knowledge of regulatory and compliance requirements affecting coding, documentation, billing, reimbursement, and health information management
Experience analyzing large healthcare datasets and turning findings into financial, operational, and compliance recommendations
Strong written, verbal, and presentation skills
Ability to lead client meetings, facilitate stakeholder discussions, and build agreement around recommended changes
Ability to balance coding requirements with operational feasibility, financial impact, compliance risk, and organizational priorities
Ability to manage multiple responsibilities, workstreams, and deadlines in a consulting environment
Advanced proficiency in Microsoft Excel and PowerPoint, and proficiency in Word and Outlook
Familiarity with electronic health record, patient accounting, encoder, computer-assisted coding, clinical documentation integrity, health information management, and revenue cycle systems
Additional credentials such as CCDS, CDIP, CPMA, CHDA, PMP, Lean Six Sigma, CHFP, or CRCR are preferred