Risk Adjustment Coding Manager

A company is looking for a Manager, Coding Solutions - Risk Adjustment. Key Responsibilities: Lead and manage a team of risk adjustment Team Leads, ensuring adherence to coding guidelines and productivity targets Monitor coding operations for accuracy and compliance with regulatory guidelines, conducting audits and quality reviews Identify opportunities for operational improvements and collaborate with technology teams to optimize coding tools and workflows Qualifications: Bachelor's degree in Health Information Management, Healthcare Administration, or related field (preferred) Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent certification required 5+ years of experience in medical coding, with at least 2 years in a leadership role Strong background in risk adjustment coding and experience with coding compliance audits Expertise in ICD-10-CM, CPT, and HCC coding guidelines

Apr 4, 2025 - 16:05

A company is looking for a Manager, Coding Solutions - Risk Adjustment. Key Responsibilities: Lead and manage a team of risk adjustment Team Leads, ensuring adherence to coding guidelines and productivity targets Monitor coding operations for accuracy and compliance with regulatory guidelines, conducting audits and quality reviews Identify opportunities for operational improvements and collaborate with technology teams to optimize coding tools and workflows Qualifications: Bachelor's degree in Health Information Management, Healthcare Administration, or related field (preferred) Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent certification required 5+ years of experience in medical coding, with at least 2 years in a leadership role Strong background in risk adjustment coding and experience with coding compliance audits Expertise in ICD-10-CM, CPT, and HCC coding guidelines