Coding Manager

Job Number: 2557

Workplace Type:

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:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].