The Coding Manager will be accountable for successfully managing the Medical Coding team, audit documentation and coding practices to ensure accuracy in the data provided to CMS. The Manager will provide coding expertise as well as administrative oversight to ensure successful integration of AHC’s HCC initiatives.
Monitors coding & abstracting productivity and quality to ensure coding quality & performance improvement standards are maintained, achieved & improved.
Establish performance guidelines in terms of quality and productivity measures
Manage and maintain a comprehensive tracking and management tool for Coding workload and prioritization.
Manage Coding activities for all assigned coders and ensure that all tasks are completed in a timely manner.
Maintain a comprehensive tracking and management tool for assigned IPAs within Alignments Healthcare provider network.
Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment leadership team.
Keep updated on new statutes/regulations/policies and distribute updates as required
Provides guidance in the coding/abstraction, production, and quality assurance, auditing and training activities
Ability to work independently in a fast-paced environment
Excellent verbal, written, and interpersonal communication skills
Dependable, great attitude, highly motivated and a team player
Possess strong organizational skills and attention to detail
Other duties as assigned to meet the organizations needs.
Some travel as necessary (>10%)
Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.
Three-five years of coding in a medical group or health plan setting required; Professional Coding experience required.
Previous use of EMR systems
Proficient user in MS office suite
Bachelors degree in Business Administration, health Care Management or in a related field or equivalent experience desired.
Certified Coder required, CCS, CCS-P, CPC, Certified Auditor a plus.
Experience with strategic planning in risk mitigation.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Link to apply: www.http://gr.8job.co/bG2uy9Nm
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For more information, please contact Tuyet Lu
Sr. Manager, Talent Acquisition
1100 W. Town & Country Road, Suite 1600
Orange, CA 92868