Clinical Coding Manager, Healthcare Risk Management

7 days ago


Boston, Massachusetts, United States CRICO Full time
Job Description

Role Summary:

We are seeking a highly skilled and experienced Nurse Manager to join our team at CRICO. As a key member of our Clinical Coding department, you will be responsible for managing a team of Nurse Coders and ensuring the delivery of high-quality coding services to our clients.

About the Role:

The successful candidate will have a strong background in nursing and risk management, with experience in clinical coding and leadership. You will be responsible for:

  • Managing a team of Nurse Coders: You will be responsible for the day-to-day management of our team of Nurse Coders, including resourcing, quality monitoring, and performance evaluation.
  • Client Liaison: You will act as the primary point of contact for our clients, providing exceptional customer service and ensuring that their coding needs are met.
  • Process Improvement: You will participate in process improvement projects and work with our business and operations leadership to drive efficiency and effectiveness in our coding practice.
  • Coding Education: You will lead the development and delivery of coding education events, including routine coding calls and the annual coders collaborative.

Requirements:

To be successful in this role, you will need:

  • Nursing degree or Hospital Case Management Experience: A nursing degree or hospital case management experience is required, with a master's degree preferred.
  • 8-10+ years of clinical background in healthcare: You will have a strong clinical background in healthcare, with a minimum of 8-10 years of experience.
  • 3+ years of nursing leadership experience: You will have a minimum of 3 years of nursing leadership experience, with a proven track record of success.
  • Advanced knowledge of medical terminology and coding tools: You will have advanced knowledge of medical terminology and coding tools, including ICD10.
  • Working knowledge of healthcare organizations and providers: You will have a working knowledge of healthcare organizations and providers, including clinical risk management and patient safety.


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