Job Description:
The Manager of Risk Adjustment Coding is responsible for the oversight of the HCC Coding Analyst team. The manager plays a critical role in development and execution of coding policies and compliance with government regulations.
This position is required to work in a matrixed environment and is responsible for HCC coding activities to support accurate and complete coding within our network provider community. Additional responsibilities including goal setting, business planning and contributing participation in strategic initiatives
Responsibilities to include:
- Sets team direction, resolves problems and provides guidance to members of team
- Provides key input to other departments responsible for coding education
- Works with risk adjustment leadership to develop strategies and processes for all risk adjustment models.
- Monitor productivity and implement solutions to optimization coding department
- Quantify ROI on coding products and projects
- Develops, deploys & monitors coding policies and procedures, standards, best practice models for complete, accurate, consistent and timely coding that results in
- Conduct HCC coding roundtable discussion as needed
- Hire, oversight all coding caregivers within team
Manages all aspects of retrospective review process including oversight of third party contracted vendor, chart abstraction projects and compliance oversight
Primary accountable contact for vendor contracts supporting HCC coding including contract negotiation, setting goals, and tracking performance, and analyzing ROI
Develop team metrics that align with organization strategic initiatives and drive performance
Engage staff in problem solving and process improvement activities to ensure use of resources, and optimal, accurate diagnosis HCC capture
Improve monitoring and auditing protocols to ensure internal and vendor compliance with all applicable regulations and risk adjustment data validation audits (RADV). Respond to and oversee CMS Risk Adjustment Data Validation (RADV) audit requests
Responsible for development of competencies for measuring staff performance and implements action plans based on findings of education/reviews
Cultivates and maintains partnerships and collaborations with internal and external business partners
Minimum Qualifications
- Certified Coding certification through AHIIMA or AAPC
- Demonstrated risk adjustment coding experience
- Demonstrated experience in HCC coding
Preferred Qualifications
- Previous managerial experience
- Bachelor’s degree
- Demonstrated experience in a Leadership role
Physical Requirements
To see the physical requirements needed to perform the essential functions of this job, please click here.
Location:
Broomfield Clinic
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$38.55 - $59.49
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package .
