Health Care Service Corporation

Director of Coding Compliance

Health Care Service Corporation$121K — $225K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's in Medical Record Administration or related healthcare field or equivalent work experience.
  • 10 years of certification in coding with national certification required.
  • 10 years of risk adjustment experience in Medicare, Medicaid, and ACA fields.
  • Experience with ICD-10 and HCPCS coding standards.
  • Familiarity with Risk Adjustment Data Validation Audits.
  • Exceptional organizational and prioritization skills under pressure.
  • Expert knowledge of Microsoft Excel, PowerPoint, and Word.

Responsibilities

  • Oversee the annual budget and allocate resources for various projects.
  • Translate line of business needs into compelling business cases.
  • Conduct cost-benefit analyses to ensure return on investment (ROI).
  • Collaborate with leadership on strategic alignment across business functions.
  • Manage relationships with key enterprise areas in a matrix environment.
  • Develop executive communications and presentations for Board Meetings.
  • Ensure enterprise strategies align with specific lines of business.

Benefits

  • Health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and paid parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and additional incentives.
Full Job Description
Job Summary

The Director of Coding Compliance will be responsible for developing the business plan and strategy for various lines of business and working with leadership on strategies and business plans for various functions; collaborating across the enterprise to ensure that enterprise strategies align with line of business strategies; representing lines of business and completing deliverables for annual Enterprise Multiyear planning; managing matrix relationships with key enterprise areas; developing executive communication for the lines of business including communications and presentations for Board Meetings.

Required Job Qualifications:
*Bachelor's in Medical Record Administration or related healthcare field or equivalent work experience.
*10 years of Certification in Coding; Must have national certification in coding
*10 Years of Risk Adjustment experience in Medicare, Medicaid and ACA field.
*Experience in ICD-10 and HCPCS coding
*Familiar with Risk Adjustment Data Validation Audits
*Ability to effectively prioritize and execute tasks while under pressure.
*Ability to manage multiple high-priority deadlines at once.
*Ability to lead effectively and drive sustainable results in both individual and team settings.
*Strong to expert knowledge of Microsoft Excel, PowerPoint and Word
*Analytically driven approach and strong problem-solving skills
*Good listening, interpersonal, written, and oral communication skills
*Excellent interpersonal, written and oral communication skills.
*Highly self-motivated and directed
*Strong customer service orientation
*Experience working in a team-oriented, collaborative environment
*Knowledge of applicable data privacy practices and laws
*Occasional evening and weekend work to meet deadlines.
*Must be able to travel occasionally for required meetings.

* Overseeing the annual budget and allocating resources for various projects and operational needs.

* Translating needs and initiatives into compelling business cases.

* Conducting cost-benefit analyses to justify investments and ensure ROI.

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range
$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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