Senior Director, Coding and Documentation

🔥 0 minutes ago

🐊 Florida, Kentucky, +10 more states – Remote

🐊 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

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Cano Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $150M Post-IPO Debt on 2023-02

Healthcare • Healthcare Insurance • Pharmaceuticals

Cano Health specializes in primary care for seniors, offering exceptional services at numerous medical centers. The company has been dedicated to improving the health, wellness, and quality of life of the communities it serves for over a decade. With a focus on various specialties such as arthritis, diabetes, pain management, and urgent care, Cano Health is transforming primary health care by forging long-term bonds with its members and working to become America’s primary healthcare provider.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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