Risk Adjustment Coding Team Lead

6 days ago


Westwood, Massachusetts, United States RHC Group Management LLC Full time
Job Title: Senior Manager Risk Adjustment Coding

We are seeking a highly skilled and experienced Senior Manager Risk Adjustment Coding to join our team at Revere Medical.

About the Role:

  • Supervise daily operational activities for the Risk Adjustment Coding team and provide education and support on risk adjustment to internal team members, Providers, and Practices.
  • Monitor daily quality, productivity, and training of team members.

Responsibilities:

  • Supervise risk coding staff and workflow, including guidance and training for staff on auditing provider records for risk adjustment opportunities.
  • Create and maintain complex tracking systems to measure and monitor team and provider performance.
  • Identify provider education opportunities to improve documentation and help implement and disseminate information to providers and appropriate staff.
  • Monitor employee productivity and provide coaching and feedback.

Requirements:

  • Bachelor's degree preferred.
  • Certified Professional Coder (CPC) and Certified Risk Coder (CRC).
  • A minimum of 3 years professional coding experience with at least 1 year in a supervisory capacity.
  • A minimum of 2 years' experience in risk adjustment.
  • Understanding of CMS HCC Risk Adjustment, Medicaid, and Commercial HHS-HCC Risk Adjustment and data validation requirements.
  • Advanced knowledge of CPT and ICD-10 coding required.
  • Computer literacy of electronic medical records.

Compensation and Benefits:

Estimated salary range: $80,000 - $120,000 per year, depending on experience. Benefits include medical coverage, HSA with company contribution, dental, vision, retirement plans, life insurance, and disability insurance.



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