Risk Adjustment Coding Manager
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 here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
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 here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.