Healthcare Provider Solutions Consultant

Job Type Full‑time Job Description – Overview At Commence, we’re the start of a new age of data‑centric transformation, elevating health outcomes and powering better, more efficient processes for program and patient health. We combine quality data‑driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human‑centered, healthcare‑relevant, and value‑based solutions, we create new possibilities with data and provide proof beyond the concept and performance beyond the scope, focusing on efficiencies that transform the lives of those we serve. Our culture is driven by purpose, straightforward communication, and clinical domain expertise, which cuts straight to better care. Responsibilities The Healthcare Provider Solutions Consultant will play a significant role in the growth and success of Commence in the hospital and health system market. The role involves serving as a trusted authority on health information management, revenue cycle operations, denial management, and clinical coding and bringing that expertise directly to bear in support of sales, product, and engineering teams. Provider Domain Expertise Serve as the primary internal and external expert on hospital and health system operations across health information management, clinical coding, denial management and appeals, and revenue cycle workflows. Translate operational realities into clear platform use cases helping hospital and health system prospects understand precisely how the Commence platform applies to their HIM workflows, coding operations, and denial management processes. Stay current on provider market trends, HIM and coding standards, payer denial patterns, billing and coding guidelines, and regulatory changes that impact hospital revenue cycle operations. Develop and maintain provider‑focused documentation, use cases, and enablement materials for Sales, Pre‑Sales, and Customer Success teams. Represent Commence’s provider expertise at industry forums, health system‑facing events, and HIM and revenue cycle conferences to strengthen credibility and visibility in the provider market. Sales & Pre‑Sales Support Partner with sales and pre‑sales teams to provide provider domain expertise throughout the commercial sales cycle from initial discovery through close. Lead or participate in product demonstrations, serving as the domain voice that connects Commence’s platform capabilities to the specific HIM, coding, and denial management workflows of each prospect. Conduct structured discovery conversations to understand a prospect’s current HIM operations, coding processes, denial rates, appeals workflows, and revenue cycle challenges. Leverage existing provider relationships to open doors, establish credibility, and accelerate the sales cycle in a market where trust is earned through shared operational experience. Product & Strategic Collaboration Partner with product management and software engineering to ensure provider HIM workflows, coding operations, and denial management realities are reflected in product design and roadmap decisions. Contribute to the development of Commence’s coding and denial management use cases as the autonomous coding product matures from pilot to commercial availability. Identify new product opportunities based on emerging provider market trends, HIM operational shifts, and evolving hospital revenue cycle needs. Qualifications Minimum of 5+ years of hands‑on experience in health information management, clinical coding, denial management, revenue cycle operations, or a closely related provider‑facing role. Working knowledge of clinical coding systems (ICD‑10‑CM/PCS, CPT, HCPCS) and how coding accuracy and documentation quality impact claim submission, denial rates, and appeals outcomes. Direct experience with denial management and appeals workflows including root cause analysis, payer denial patterns, and the operational processes health systems use to track, work, and resolve denials. Demonstrated ability to translate provider operational knowledge into practical technology use cases and client‑facing solution narratives. Existing network of relationships within hospital and health system HIM, coding or revenue cycle departments. Strong written and verbal communication skills with the ability to engage credibly with HIM directors, revenue cycle leaders, coding managers, CFOs, and C‑suite stakeholders. Ability to travel within the United States on a monthly basis. Preferred Qualifications Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field. RHIA or RHIT credential, or an equivalent coding credential such as CCS, CPC, COC, or CIC. Prior experience in a client‑facing, solutions consulting, or vendor‑facing role within a health IT, revenue cycle, or HIM technology company. Familiarity with healthcare data interoperability standards, including HL7 and FHIR, and how data exchange between EHRs, payers, and third‑party platforms impacts HIM and revenue cycle workflows. Experience supporting or evaluating computer‑assisted coding, autonomous coding, or AI‑assisted clinical documentation tools. Commence headquarters are in Virginia Beach, VA, but remote candidates in certain states are accepted. Work Environment / Physical Demands This is a remote position. Employees work in a climate‑controlled environment and perform tasks that require sitting, reading, working on a computer, and watching a screen for extended periods. Occasional standing, walking, using hands and fingers, kneeling or crouching may be required. Equal Employment Opportunity Commence is an equal employment opportunity employer. All personnel processes are merit‑based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status, or any other characteristic protected by applicable law. Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at View phone number on click.appcast.io or View email address on click.appcast.io. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system. Salary $130,000.00 – $175,000.00 #J-18808-Ljbffr Commence