Outpatient Risk Adjustment Coding Supervisor

Practice Area healthcare/allied-other
Job Family Allied Other
Job Type Perm Salary
Location Metrowest Boston

Oversee the daily operational activities for the Outpatient Risk Adjustment Coding team and provides education and support on risk adjustment to internal team members.

Responsibilities

  • Review provider charts and delegate to team members, as necessary
  • Provide support through discussion of complex cases, answering questions, and interfacing with members of the performance leadership team
  • Creates and maintains a complex tracking system to measure and monitor team and provider performance
  • Helps coordinate team and Provider improvement initiatives
  • Reviews quality of coding staff's audits and provides feedback to coders
  • Monitors employee productivity and provides appropriate coaching and feedback
  • Create training documents and educational materials to improve documentation and help implement and disseminate information to providers
  • Assume accountability for all relevant personnel functions as appropriate; i.e., recruitment, hiring, firing, evaluating, counseling, and educating with primary emphasis placed on staff retention.

    Requirements

  • Bachelor's degree preferred
  • Certified Professional Coder (CPC) and a Certified Risk Coder (CRC)
  • A minimum of 3 years professional outpatient coding experience, 1 year in a supervisory capacity
  • A minimum of 2 years' experience in risk adjustment.
  • Understanding of CMS HCC Risk Adjustment, Medicaid and Commercial DxCG Risk Adjustment and data validation requirements
  • Advanced knowledge of CPT and ICD-10 coding required
  • Computer literacy of electronic medical records
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Position ID: 38933