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coding Manager - HCC
State of Franklin Healthcare Associates
Johnson City, TN (On Site)
Full-Time
Summary
Educates support staff on the Medicare Risk Adjustment model for coding and documentation guidelines. Performs and reviews chart audits with providers. Evaluates documentation for coding improvement opportunities. Assists in the development of audit and education plans. Directs, trains and supervises Coding Analysts.
Essential Duties and Responsibilities
* Acts as primary resource for Coding Analysts.
* Performs chart audits for appropriate diagnosis coding.
* Monitors, maintains and implements updates to the Pre-Visit Process used by Coding Analysts.
* Remains current on Hierarchical Condition Categories (HCC) coding changes and regulations and provides training on updates.
* Educates providers and staff on HCC coding and documentation guidelines based on audit results.
* Participates and discusses HCC coding with payer representatives.
* Supervises assigned staff, including recruitment, selection, orientation, retention, training, promotion, disciplinary action, performance evaluations and recommendations for merit increase.
Other
* Compiles information and prepares reports.
* Maintains records.
* Participates in educational activities.
* Follows organizational policies and procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any other policies or procedures for the job function, department, location or clinic.
* Performs other duties as assigned.
Supervises
Directly supervises Coding Analysts
Qualifications
Education
High school diploma or GED
Associates or Bachelor degree in Healthcare or Business Administration or related discipline is desirable but not required
Experience
Minimum of five years of experience in a senior level coding/auditing position
Prior supervisory/management experience desired
Preference given to a similar role
Certificates, Licenses, Registrations
AAPC Certified Professional Coder required
Certified Risk Adjustment Coder (CRC) preferred
AAPC Certified Professional Medical Auditor preferred
AAPC Certified Evaluation and Management Coder preferred
# analyst # risk # coding analyst # coder # coding auditor
Educates support staff on the Medicare Risk Adjustment model for coding and documentation guidelines. Performs and reviews chart audits with providers. Evaluates documentation for coding improvement opportunities. Assists in the development of audit and education plans. Directs, trains and supervises Coding Analysts.
Essential Duties and Responsibilities
* Acts as primary resource for Coding Analysts.
* Performs chart audits for appropriate diagnosis coding.
* Monitors, maintains and implements updates to the Pre-Visit Process used by Coding Analysts.
* Remains current on Hierarchical Condition Categories (HCC) coding changes and regulations and provides training on updates.
* Educates providers and staff on HCC coding and documentation guidelines based on audit results.
* Participates and discusses HCC coding with payer representatives.
* Supervises assigned staff, including recruitment, selection, orientation, retention, training, promotion, disciplinary action, performance evaluations and recommendations for merit increase.
Other
* Compiles information and prepares reports.
* Maintains records.
* Participates in educational activities.
* Follows organizational policies and procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any other policies or procedures for the job function, department, location or clinic.
* Performs other duties as assigned.
Supervises
Directly supervises Coding Analysts
Qualifications
Education
High school diploma or GED
Associates or Bachelor degree in Healthcare or Business Administration or related discipline is desirable but not required
Experience
Minimum of five years of experience in a senior level coding/auditing position
Prior supervisory/management experience desired
Preference given to a similar role
Certificates, Licenses, Registrations
AAPC Certified Professional Coder required
Certified Risk Adjustment Coder (CRC) preferred
AAPC Certified Professional Medical Auditor preferred
AAPC Certified Evaluation and Management Coder preferred
# analyst # risk # coding analyst # coder # coding auditor
Recommended Skills
- Auditing
- Business Administration
- Certified Professional Coder
- Certified Professional Medical Auditor
- Ethics
- Human Resources
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Job ID: 2377757703
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