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Coding Manager (Risk Adjustment)

COTIVITI, INC.

SOUTH JORDAN, UT

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JOB DETAILS
SKILLS
Best Practices, Certified Coding Specialist (CCS), Claims Processing, Coaching, Content Management Systems (CMS), Customer Satisfaction, Data Analysis, Department of Health and Human Services, Forecasting, Hospital, Human Resources Analytics, Leadership, Medicaid, Medical Coding, Medical Records, Mentoring, Onboarding, Operations Planning, Outpatient Care, Patient Care, People Management, Performance Goal Setting, Performance Reviews, Problem Solving Skills, Production Control, Production Planning, Quality Assurance, Quality Management, Quality Metrics, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Risk Management, Staff Requirements, Team Lead/Manager, Trend Analysis
LOCATION
SOUTH JORDAN, UT
POSTED
1 day ago
Coding Manager (Risk Adjustment) Job Locations   US-Remote ID   2026-19500         Category  Coding     Position Type  Full-Time Overview   The Coding Manager leads a team of coders, directly or indirectly, to deliver key components to the Cotiviti coding program. This role works with the Director of Coding, the Client team and other areas related to production, QA, and analytics for oversight of ongoing production and quality accuracy.           Responsibilities   Work with the Director, Coding Services to oversee CMS-HCC and HHS- HCC coding production and quality including the management of staff, hiring, promoting, evaluating, and training, disciplining, and mentoring at the client team level. * Facilitates all production meetings with Reporting, Data Capacity operations planning, and leadership to develop coding and abstraction production plans. Communicates production plans, quality goals and project priorities to internal Coding teams as well as external vendor partners in preparation for on-boarding and/or scheduling of all client projects, including on and offshore coding. * Resolve issues that impact coding production and the full utilization of coding abstraction services for MRA, CRA and Medicaid. This will involve working closely with chart retrieval staff, IT, Production Analytics, HR, Trainers, and the QA team. * Utilize Coding forecast and coding output data to monitor coding productivity and quality; address coders work performance concerns through meeting with the Coder and/or coding vendor leadership to develop an action plan as needed regarding production and quality accuracy standards.  This includes the development of monitoring tools as needed to continually assess staff progress toward goal achievement. * Constructs and communicates internal system reports for all coders (Coder I, Coder II, QA I and QA II and Team Leads) in the Clinical Coding Department. These reports cross production and quality accuracy. Reports are reviewed daily, weekly, monthly, quarterly, and yearly as needed. * Ensures completion of various chart types (physician, hospital outpatient, hospital inpatient) from both a production and quality accuracy perspective. * Frequently meets with clients to provide meaningful updates on project progress; works closely with client success and coding quality to ensure successful deliverables. * Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. * Complete all responsibilities as outlined in the annual performance review and/or goal setting. * Complete all special projects and other duties as assigned. * Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.           Qualifications   * Bachelor's degree, Coding certification; RHIA, RHIT, CRC, CCS, CCS-P, CPC, CPC-H (Nationally certified medical coder as certified by either AAPC or AHIMA) or 4 years equivalent work experience. * 5+ years of HCC medical coding, record abstraction experience, including supervisory experience. * Ability to est ablish, monitor and enforce staffing schedules and production schedules. * Ability to analyze data to identify trends, outliers or areas that need attention from both a production and quality perspective, and implement... For full info follow application link.   Equal Opportunity Employer/Protected Vete ans/Individuals with Disabilities

About the Company

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COTIVITI, INC.