Supervisor, Coding and Compliance

2 weeks ago


Jersey City, New Jersey, United States AnewHealth Full time
About the Role

AnewHealth is a leading pharmacy care management company that specializes in caring for individuals with complex, chronic needs. As a Coding Team Supervisor, you will play a critical role in ensuring the accuracy and integrity of patient records, while also driving compliance and education within the coding team.

Key Responsibilities
  • Manage a team of 10+ professional medical coders to ensure compliance with departmental policies, standards, and regulatory requirements.
  • Assist staff as needed to complete work and ensure all expected standards are met.
  • Problem-solve, troubleshoot, and escalate issues to higher-level management as necessary.
  • Develop and coordinate educational programs on coding elements, including documentation, coding trends, and quality reviews.
  • Collaborate with other Capstone teams to provide education to clients.
  • Determine efficient workflows and prioritize caseload to ensure fair work distribution.
  • Monitor and assess coding staff performance to ensure accurate code assignment and timely completion of coding tasks.
  • Collaborate with the Sr Manager of Risk Adjustment to deliver performance improvement and/or corrective action.
  • Perform clinical validation audits and interpretation of medical documentation to ensure capture of relevant coding.
  • Provide feedback and process improvement recommendations to health plan operations departments.
Requirements
  • Associate's degree or formal training beyond high school required.
  • Certified Coding Specialist (CCS) or equivalent certification preferred.
  • 5+ years of professional work experience in a health plan setting.
  • 5+ years of risk adjustment coding experience.
  • Strong knowledge of Clinical Documentation Improvement and Hierarchical Condition Categories (HCC).
  • Knowledge of or experience in Medicare Advantage plans.
What We Offer

AnewHealth provides a dynamic and supportive work environment, with opportunities for professional growth and development. We offer competitive compensation and benefits packages, as well as a commitment to diversity, equity, and inclusion.



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