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coding Manager - HCC job in Johnson City at State of Franklin Healthcare Associates

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coding Manager - HCC at State of Franklin Healthcare Associates

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

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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