HCC & Coding Manager

Found in: Lensa US P 2 C2 - 3 weeks ago


Bakersfield, United States Bakersfield Family Medical Center Full time

Under the direction of the

Senior Vice President of Operations

, this position is responsible to directly oversee and lead the HCC/Coding department to ensure maximum performance in billing and coding related activities. The manager of HCC/Coding will interact with other departments, clinic personnel, and outside providers in a professional and friendly manner, to create and maintain a positive relationship with our internal and external customers. Direct day to day operations of the HCC Department Train and guide HCC department staff, and present updates to HCC program as they become available. Develop skills of employees for growth and cross training. Coordinate with the Senior Vice president of Operations on outcomes within the provider community on reaching BFMC/CCPN’s RAF s score goals. Oversee and conduct training of IPA and Staff Model provider regarding HCC documentation. Prepare and analyze monthly reporting of key metrics and deliverables. Attend HPN corporate meetings as needed to communicate/implement BFMC/CCPN’s best practices. Coordinate with Quality Management Department to assist within the IPA community for the communication of CMS 5 Star program details and results. Coordinate with Provider Relations Department on IPA community movements, and deliver feedback received from IPA providers. Project BFMC/CCPN/HPN’s mission and culture in daily activities within clinic and IPA community. Develop and strengthen ties of IPA providers with BFMC/CCPN through personal outreach. Coordinate with corporate office on all Health Plan requests for medical records to complete RADV audits. Coordinate best practices and open communication within the HPN organization on HCC programs with sister companies. Requirements

5+ years management background (in health care preferred) with strong communication skills including presentation skills. Strong analytical and critical thinking skills CPC Certification preferred 3 + years of billing/coding experience Knowledge of medical terminology and anatomy. Strong communication skills both written and oral Intermediate level of proficiency with Microsoft Office applications including Word, Excel and PowerPoint The pay range for this position at commencement of employment is expected to be between $39.12 and $46.03 however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

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