Job Summary

Summary:

Assists Coding Leadership team in meeting coding quality and productivity goals and objectives by identifying opportunities for continuous quality improvement. Communicates and participates in Business Operations strategic planning related to Risk Adjustment coding activities. Actively involved in training all functions and services related to professional medical coding, Provider documentation, and physician chart review and data collection. Monitors coding and documentation quality by conducting and/or coordinating ongoing audits to ensure coding quality and performance improvement standards are maintained, achieved and improved. Under the direction of the Quality team leadership, plans and coordinates daily work for Risk Coding Analysts to develop, implement, evaluate, and improve Risk Adjustment coding practices. Provides ongoing coding education and training of providers and staff. Ensures compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures.

Job Requirements

Responsibilities:

Educational Requirements

Experience Requirements

Knowledge of coding guidelines and Risk Adjustment. Must be knowledgeable of business medicine and transitional healthcare changes.

State of Florida Licensure Requirements

Certifications/Registration Requirements

Additional Requirements

CPC or CRC certification required or must be obtained within 6 months of employment.

Other Requirements

Ability to proficiently use a variety of forms of medical records including electronic medical records within Epic. Evidence of experience providing adult education. Experience working with payers and billing teams including knowledge of ICD-10 coding guidelines. Demonstrated track record for achieving performance results. Ability to analyze and present data. Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and engender trust across all levels of an organization. Demonstrated competency in use of technology and publications for coding research, HIPAA compliance, and other issues impacting coding functions in professional billing/coding. Maintain certifications necessary to provide professional billing coding support to healthcare professionals to include maintaining or obtaining Healthcare Compliance certification if requested by the hiring department. Demonstrated teamwork and an ability to work flexible hours to accommodate training audience. Experience in contributing and sharing ideas related to improvement and educational opportunities. Minimum of 5 years of diverse clinical experience. 

US:FL:Fort Myers