Senior Director, Coding and Documentation

🕒 il y a 2 jours

🐊 Florida, Kentucky, +10 états de plus – Distant

🐊 Florida – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🍂 Massachusetts – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

⏰ Temps Plein

🟠 Senior

👔 Directeur

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 10%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Cano Health

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1001 - 5000 employés

🏥 Santé

⚕️ Assurance santé

💊 Pharmaceutique

💰 €150 000 000 Post-IPO Debt en 2023-02

Healthcare • Healthcare Insurance • Pharmaceuticals

Nous transformons les soins de santé primaires en améliorant la santé de nos patients. Nous faisons partie des communautés que nous servons depuis plus d'une décennie et nous nous consacrons à l'amélioration du bien-être des patients en fournissant des services médicaux de soins primaires de qualité supérieure tout en forgeant un lien à vie avec nos membres.

Description

• Report to the CFAO and provide strategic oversight of coding, documentation, and audit/education departments • Support the owned clinic and affiliate businesses • Lead and direct coding and documentation teams • Collaborate with senior leadership to align functions with compliance, clinical requirements, and company policies • Provide guidance on coding guidelines, education programs, and Medicare Advantage processes • Drive strategic initiatives using analytical tools • Monitor coder work quality and productivity • Ensure physician and coder documentation audits are completed timely and effectively • Provide corrective actions and education as needed • Collaborate with clinical and operations leadership on annual education, disease prevalence, and preventative screening programs • Support compliant Medicare Advantage risk adjustment strategy using CMS and HCC models • Manage risk adjustment business processes and serve as subject matter expert on related regulations • Support department budgeting, forecasting, goals, and initiatives • Maintain KPIs and reporting for internal and external stakeholders • Improve CMS revenue accuracy and completeness through prospective assessments and retrospective chart reviews • Collaborate with contracted health plans on documentation and audit requests • Work with Revenue Cycle Management and outsourced vendors to address coding issues • Own the internally developed pre-review coding workflow tool and support EMR vendor coding workflow matters • Oversee department managers/team leads for Pre-Review Coding, Coding Education, Coding Audit, and MSO Coding

🎯 Exigences

• 10+ years of experience in Medicare Advantage coding/documentation • 7+ years of leadership experience • Experience in primary care • CPC, CRC, and/or CPMA certifications • Required bachelor's degree • Leadership skills to effectively direct work and support other department professionals • Ability to communicate professionally with all levels of leadership • Excellent written and oral communication skills • Technical writing skills for documentation development, implementation, maintenance, and leadership presentations • Ability to communicate and maintain the integrity of sensitive, detailed information • Understanding of Microsoft Office, medical terminology, medical procedures, and services • Ability to assess work and patient needs related to department practices, procedures, and computer systems • Knowledge of the medical field and practices • Skill in operating technology and other IT systems • Must be able to work extended and flexible hours and weekends as needed • Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing • Must be able to travel/drive to medical centers in all company regions and expanding markets

🏖️ Avantages

• Equal opportunity/affirmative action employer • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

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