Alignment Healthcare is a population health management company dedicated to changing the way health care is delivered in the United States. We are a fast-growing, highly dynamic organization that isn’t content with the status quo. We are looking for dedicated, innovative individuals who thrive in a fast-paced environment to join our team and help us carry out our vision - that is, to lead a movement that transformationally improves health care.

Join us today and we will give you every opportunity to succeed.

Coding Manager

Location: Orange, California US

Notice

This position is no longer open.

Job Number: 2557

Position Title: Manager, Coding

External Description:

The Coding Manager will be responsible for managing and developing the HCC Coding team. The Manager will work with the senior leadership team to audit documentation and coding practices to ensure accuracy in the data provided to CMS. He/she will provide coding expertise as well as administrative oversight to ensure successful deployment of AHC's HCC initiatives.

General Duties/Responsibilities:

  • Monitors coding & abstracting productivity and quality to ensure coding quality & performance improvement standards are maintained, achieved & improved.
  • Establish performance guidelines in terms of quality and productivity measures
  • Manage and maintain a comprehensive tracking and management tool for Coding workload and prioritization.
  • Manage Coding activities for all assigned coders and ensure that all tasks are completed in a timely manner
  • Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
  • Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment leadership team.
  • Keep updated on new statutes/regulations/policies and distribute updates as required
  • Provides guidance in the coding/abstraction, production, and quality assurance, auditing and training activities
  • Ability to work independently in a fast-paced environment
  • Excellent verbal, written, and interpersonal communication skills
  • Dependable, great attitude, highly motivated and a team player
  • Possess strong organizational skills and attention to detail
  • Other duties as assigned to meet the organization’s needs.
  • Some travel as necessary (>10%)

Supervisory Responsibilities:

Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.

Minimum Requirements:

Minimum Experience:

  • Three-five years of coding in a medical group or health plan setting required; Professional Coding experience required.
  • Previous use of EMR systems
  • Proficient user in MS office suite

Education/Licensure:

  • Bachelor’s degree in Business Administration, health Care Management or in a related field or equivalent experience desired.
  • Certified Coder required, CCS, CCS-P, CPC, Certified Auditor a plus.

Other:

  • Experience with strategic planning in risk mitigation.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  • The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Coding Manager

Company Profile:

Who is Alignment Healthcare?

  • Socially responsible
  • Technologically enabled
  • Concierge care
  • Transformation
  • Servant leadership

We are dedicated to transforming the complex and confusing process of medical treatment in the United States so that every link in the health care continuum becomes more efficient, productive, and effective. We built a team of people who want to make a difference. Come join the team that is changing health care one person at a time.

We believe that great work comes from people who are inspired to be their best. We invite you to explore our wide variety of roles based on your unique experience.

EEO Employer Verbiage: Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com. (function() { var ac = document.createElement('script'); ac.type = 'text/javascript'; ac.src = ('https:' == document.location.protocol ? 'https://' : 'http://') + 'click.appcast.io/pixels/grpeople1-1573.js?ent=8&t=' + new Date().getTime(); var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ac, s); })();

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