Responsible for managing the coding functions for all value based care services (HCC coding and HEDIS Reviews).
The coding manager is responsible for planning, implementing, and educating coding staff and other departments to ensure coding quality and timely reimbursement.
Attend US client calls in the evening
Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.
Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.
Assists in the department budget and identifies and recommends opportunities to decrease cost and improve services.
Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.
Review medical record information to identify all appropriate coding based on CMS HCC model.
Manage the coding workflow for efficiency
Handles special projects as requested by leadership
Participate in audits of coded data to validate documentation support services rendered for reimbursement and reporting purposes.
Comprehensive understanding of data systems and reporting for health record coding
Vendor management - Hire and train coding , responsible for vendor performance
Responsible for hire and fire employees
Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy
Other duties as assigned.
MINIMUM QUALIFICATIONSEducation: Bachelor\'s Degree in any life science Licences/Certifications: CPC/COC/CRC/CCS/CIC
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Interpersonal skills necessary to provide effective leadership to departmental personnel
4+ years experience in HCC coding
2+ years experience in managing coding team
Previous leadership or supervisory experience that includes conducting coaching/training of coding staff