Audit and Coding Review Management

Job Description:
Audit and Coding Review Management
Provider Education and Consultation
Team Performance Management (12 to 14 Staff)
Subject Matter Expertise Development and Knowledge Sharing
Talent Management – Hire, train, and coach certified coders with expertise in risk adjustment medical coding
Requirements:
EDUCATION: (Minimum education & certifications required)
Medical coding certification required (CRC and one of the following CPC, COC, CIC, CCS-P or CCS). BA/BS degree or the equivalent is preferred
EXPERIENCE:  (Years of experience)
Minimum 7-10 years in medical claims coding required; a progressively responsible role with leadership experience and previous experience working in an educational / training role preferred. Experience working with CMS, risk adjustment, health insurers, and medical providers strongly preferred.
SKILL REQUIREMENTS: (Include interpersonal skills)
Highly organized, self-motivated, detail-oriented and energetic team player who can also work independently
Working knowledge of both the medical and business side of healthcare operations
Ability to understand and navigate complexity and regulation
Strong leadership skills with proven ability to lead change to accommodate evolving organizational and regulatory processes
Adept at partnership and collaboration both internally and externally
Strong one-on-one, small group, and large group communication skills
Excellent judgment, critical thinking and decision making abilities
Good process management and business planning skills
Must be able to interact effectively with individuals at all levels throughout the company and externally with business leads/ providers at the medical groups

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