59,988 Coding Manager jobs in the United States

Coding Manager

99701 College, Alaska Tanana Chiefs Conference

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full time
Description

Job Title Coding Manager

Location Fairbanks, AK, US

Organization Name Health Services

Job Summary

Job Summary: Job incumbent uses advanced knowledge of coding and compliance to coordinate the training, implementation and ongoing education of staff that support coding for Tanana Chiefs Conference.

Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy.

Essential Functions

Essential Functions: This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbent(s).

Representative Duties: Under the direct supervision of the Revenue Cycle Manager, job incumbent will:

1. Directly Supervises coding team & provides them with continuous training and education. Directly responsible for assuring coders meet accuracy and productivity standards.

2. Audit medical record documentation to identify undercoded and upcoded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues.

3. Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.

4. Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.

5. Trains, instructs, and/or provides technical support to Medical Providers and Medical Coders as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.

6. Interacts with providers and management to review and/or implement codes and to update charge documents.

7. Ensures strict confidentiality of records.

8. Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.

9. Codes encounters and ensures that the coding queue is up to date.

10. Performs miscellaneous job-related duties as assigned.

Other Responsibilities:

11. Perform other job related duties as assigned

Minimum Qualifications

Minimum Qualifications:

1. High School Diploma or GED equivalent, Associate's or Bachelor's degree in related field preferred.

2. Any combination of education, training or experience that demonstrates the ability to perform the duties of the position preferred may be substituted for the degree preference.

3. Must have current coding certification from American Academy of Professional Coders or American Health Information Management Association.

4. Knowledge of CFR 42 part 2, HIPAA and HITECH required.

5. Four years of coding experience preferred.

6. Must maintain strict confidentiality in compliance with HIPAA and HITECH Act standards.

7. Must pass background check pursuant to federal Indian Child Protection and Family Violence Prevention Act requirements.

8. Must pass background check pursuant to Alaska DHSS and federal Indian Child Protection and Family Violence Prevention Act requirements.

9. Membership in AAPC and/or AHIMA required.

Knowledge, Skills and Abilities:

1. Advanced knowledge of medical terminology, anatomy, Coding Guidelines, ICD-10CM, CPT-4, and HCPCS coding.

2. Knowledge of current and developing issues and trends in medical coding procedure requirements.

3. Knowledge of auditing concepts and principals.

4. Knowledge of patient care charts and documentation standards.

5. Strong verbal, written, analytical, and interpersonal skills.

6. Demonstrated ability to prioritize tasks and work independently.

Supervision: This position has supervises up to 15 coding positions.

Supervision

Physical demands: Work is performed in a typical office work environment. Extensive hours will be spent at the computer and reading different fonts and handwriting styles. Incumbent has high contact with providers and other patient care providers which make communication and interpersonal skills important. Strict confidentiality is required.

Summation

Summation: Job incumbent must have advanced knowledge of medical coding compliance consistent with State and Federal standards.
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HIM Coding Manager - ON-SITE

Rome, Georgia Rome Health

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Job Description

Job Description


Rome Health is looking for a dynamic Coding Manager to join their HIM department! The HIM Coding Manager is responsible for planning, organizing, and supervising staff to ensure timely and appropriate documentation and coding to support a complete and accurate clinical picture, mandatory reporting, quality measures, compliance, and reimbursement. Collaborates with other departments to assist in development, promotion, and maintenance of the revenue cycle, quality programs and services. Tracks coder productivity and quality. Participates in the Clinical Documentation Improvement Program, Denials Committee, Revenue Cycle Committee, and Compliance Committee. You will be leading a coding team that is experienced, dedicated, and solid.

  • Associates or bachelor's degree required.
  • Registered Health Information Administrator (RHIA),
  • Registered Health Information Technician (RHIT),
  • Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) required.
  • Previous supervisory experience preferred.

About Rome Health

Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

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Vendor Resource Management Profee Coding Manager

37230 Nashville, Tennessee HCA Healthcare

Posted 3 days ago

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**Description**
This position is incentive eligible.
**Introduction**
Do you want to join an organization that invests in you as a Vendor Resource Management Profee Coding Manager? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Vendor Resource Management Profee Coding Manager like you to be a part of our team.
**Job Summary and Qualifications**
The VRM Pro-fee Manager is responsible for assisting in the development and evolution of the overall strategy for the Company's Vendor Resource Management pro-fee coding operations. The VRM Pro-Fee Manager manages, directs and coordinates the pro-fee coding activities for the Vendors in correlation with the Central Coding Unit (CCU). The VRM Pro-Fee Manager plans, assigns and directs the coding workflow between Vendors and CCU; actively monitors employee and vendor performance; addresses complaints and resolves problems; and actively monitors production and quality control efforts. The VRM Pro-Fee Manager is responsible for preparing/monitoring forecast volumes and scheduling/coordination/queue monitoring of production coding resources to assure accounts available for coding are coded within Service Level Agreement (SLA). The VRM Pro-Fee Manager ensures Vendor inventory is monitored daily; ensures queue concerns or resource changes are communicated to CCU as needed; ensures coder productivity and daily/weekly/monthly completion volumes are tracked and monitored. The VRM Pro-Fee Manager is expected to interact with PSC/CCU Leadership as well as VRM leadership for overall collaboration in regards to Vendor activities. The VRM Pro-Fee Manager is also actively engaged in continuous process improvement activities to enhance timely claims completion, financial performance, and corporate contribution.
**What you will do in this role:**
+ Provides direct managerial oversight to vendors and Team Leads in management of pro-fee coding functions, work queues, work processes, and overall work responsibilities.
+ Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company policies.
+ Coaches and helps develop team members; helps resolve dysfunctional behavior and promotes teamwork within functional area(s); disciplines and counsel staff as necessary
+ Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
+ Selects, evaluates, trains, and provides leadership and direction to reporting staff
+ Responsible for continuous review and improvement of processes and services
+ Responsible for ensuring employee work schedules sufficiently meet business and customer needs
+ Provides guidance and oversight in retrieving, organizing and reporting data
+ Facilitates problem solving and collaboration within functional area(s)
+ Works closely with other members of the Parallon Central Coding Leadership Team in addressing issues impacting accurate/timely coding and documentation
+ Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines as it relates to adding and reassigning accounts to work queues/worklists
+ Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders
+ Performs productivity monitoring and provides timely and consistent feedback to vendor and VRM pro-fee staff
+ Monitors, escalates and assists in the resolution of system issues reported by the production coders
+ Manages tracking of vendor staff and maintains accurate vendor staff list
+ Manages all month end processes by ensuring month end volumes get pulled and sent to the vendors; month end stats are sent to leadership
+ Monitors vendor coders pended accounts in production to ensure timely turnaround per contract agreement
+ Provides timely follow-up to customer escalations related to coding quality and coding process issues
+ Responds to customer requests for action plans to improve coding quality and operational process concerns
+ Promptly reports issues or trends to the appropriate member of the Parallon Leadership team, or other appropriate party
+ Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures VRM staff are appropriately educated
+ Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
+ Prepares and hosts weekly and/or ad hoc vendor conference calls
+ Coordinates work assignments to achieve operational goals
+ Manages the onboarding process for VRM support staff
+ Establishes and maintains good working relationships with the vendors
+ Coordinates and ensures completion of training and education for VRM staff and vendor coders
+ Works with multi-disciplinary teams in addressing issues related to coding and medical record improvement (as applicable)
+ Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment
+ Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
+ Other duties as assigned
**Qualifications:**
+ Undergraduate degree required. Bachelor's degree strongly preferred. Equivalent work experience may substitute education requirements.
+ Inpatient/outpatient professional fee coding experience required
+ Minimum three years' experience in related area preferred with two of these years being healthcare management experience
+ Experience managing multi-specialty coders strongly preferred.
+ RHIA, RHIT and/or CCS/CPC required
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Vendor Resource Management Coding Manager opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Coding Educator Manager

22905 Charlottesville, Virginia Insight Global

Posted 3 days ago

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Job Description
Insight Global is seeking a Coding Education Manager for a large academic medical center in Virginia. The Enterprise PB Coding Manager for Coder and Provider Education is responsible for directing and managing the PB Coding education team supporting physicians, other healthcare providers, and medical coders on coding practices, documentation guidelines, and industry regulations. This position is responsible for the development of both coder and provider educational materials and standard procedures, as well as creating educational updates and programs to address any industry and regulatory changes that impact professional services documentation and coding. The manager also oversees both the coder and provider review process, ensuring documentation and coding is accurate and compliant with industry guidelines and regulations, ultimately leading to improved reimbursement and patient care.
Manage the Coding team including but not limited to: hiring, training, managing & evaluating team performance and conducting professional development plans.
Ensure that the productivity and actions of the Coding team meet and support the overall operational goals of the department and institution.
Assist Director with development of annual budget.
Design, develop and execute standard policies and procedures, and strategies targeted to improve the quality of documentation, data integrity, and overall quality of patient outcome reporting.
Develop and execute Coding process improvement projects (department and institutional wide)
Collaborate extensively with members of the health care team to provide data and solution development processes.
Inform and educate coding staff or other departments (as needed) of regulatory (CMS/Medicaid) and 3rd party payors and implements policy/guidelines to ensure compliance with changes.
Responsible for serving as the primary point of contact for interactions with internal and external customers to CBO, primary decision maker regarding collection activities with third party insurance and guarantors.
Assures compliance with state law mandates on collections associated with the Medical Centers status as an agency of the Commonwealth.
All inquiries responded to in an efficient, accurate, and timely manner. This includes driving improvement in customer satisfaction, employee development and retention, as well as, overall operational efficiencies are maximized.
Identifying areas for improvement applicable to Revenue Cycle performance within all or one facility included in the CBO.
Accountable for Key Performance Indicators (KPIs) for assigned area(s).
Assists team members with working a client's account as needed, including but not limited to denials, rejections, claim files issues, and review codes.
Identifies trends affecting the CBOs A/R and facilities specific metrics; collaborates with the operational team to ensure the overall health of the assigned facilities.
Assists with team development, including on-going mentoring and training
Pursues continuing education of applicable software and hardware as necessary
Keeps current on payment trends and coding changes as well as payer requirement changes.
Participates in departmental and other meetings as requested
Assists with creating procedures/process documentation.
Communicates all A/R issues, including enhancement requests, defects, and inquiries, to internal stake holders.
Build and maintain strategic relationships with external and internal customers.
Develop reputation as an industry expert and trusted advisor on revenue cycle and management processes for given specialty areas of focus.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form ( . The EEOC "Know Your Rights" Poster is available here ( .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: .
Skills and Requirements
MINIMUM REQUIREMENTS
Education: Bachelors Degree required, or obtained within 4 years, or 15 years academic healthcare experience in lieu of Bachelor degree.
Experience: 7 years of management and/or supervisory experience in healthcare or similar customer-oriented business.
Licensure: Certification as Certified Professional Coder (CPC, CCS-P), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P) required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred. null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
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Manager, Coding

98194 Seattle, Washington Virginia Mason Franciscan Health

Posted 8 days ago

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**Responsibilities**
As a key member of our leadership team, you will help to continually develop the results-driven initiatives that define our success and are transforming healthcare.
This is a remote position.
This position is responsible for managing and overseeing the activities for multiple value streams within the revenue cycle. Responsibilities include analyzing data, documenting process flows, coordinating changes, and resolving issues. This position provides ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle. This position is responsible for developing new, leaner processes and integrating the necessary systems changes to support the new processes. This position ensures compliance with all federal, state and local statutes and regulations, as well as all third party payer policies.
**Qualifications**
+ This position requires a Bachelor's degree or equivalent years of directly related experience plus a minimum of 10 years healthcare experience (including 5 years of increasingly responsible management experience in healthcare).
+ Certification as Professional Coder (CPC) through AAPC or Coding Credential through AHIMA required.
+ Experience in a clinic/hospital financial operations; exceptional interpersonal skills and an emphasis on customer service; skilled in team dynamics and consensus building; ability to be decisive while preserving a working relationship with key stakeholders; previous experience managing a large and/or complex department budget; proficient skills in problem solving and process flow coordination; extensive knowledge of billing guidelines as well as Federal and State billing regulations required; experience developing systems solutions and project management.
**Overview**
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
**Pay Range**
$40.58 - $61.27 /hour
We are an equal opportunity/affirmative action employer.
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Professional Coding Department Manager

90006 Los Angeles, California UCLA Health

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Description
UCLA Health is seeking a highly experienced Professional Coding Department Manager to oversee daily operations for a multi-specialty coding team within the Patient Billing Office. Reporting to the Director of Coding, this role manages coding workflows, supervises staff, ensures compliance with coding standards, and acts as a subject matter expert in specialties such as Anesthesia, Surgery, Radiology, Cardiology, and Internal Medicine. The manager will play a key role in optimizing performance, streamlining operations, enhancing resource tools, and leading training initiatives for both staff and supervisors. Responsibilities also include reviewing coding audits, resolving escalated issues, analyzing payer trends, and implementing departmental improvements in alignment with federal regulations and institutional goals.
Key Responsibilities:
+ Oversee daily operations and resource allocation for a multi-specialty coding team
+ Monitor productivity, workflow efficiency, coding accuracy, and ensure timely resolution of billing issues
+ Serve as a subject matter expert for clinical departments and resolve complex coding and documentation questions
+ Implement quality assurance initiatives, perform post-bill audits, and address payer denial trends
+ Develop and deliver training programs for new and existing staff
+ Prepare coder performance evaluations and manage corrective actions as needed
+ Collaborate with IT, Compliance, and Billing teams to improve system edits and reduce denials
+ Lead regular meetings with coding leadership to align team priorities and address department goals
+ Contribute to team building, administrative planning, and support staff engagement initiatives
+ Maintain advanced knowledge of coding regulations, AMA/CMS guidelines, and payer requirements
Salary Range: $95,400 - $208,300
QualificationsWe are seeking a leader with:
+ CPC certification and at least one additional specialty coding certification required
+ A minimum of five years in Coding or Billing Department Management or equivalent experience required
+ Bachelor's Degree or higher preferred
+ Strong expertise in all facets of professional medical coding, including ICD-10, CPT, and HCPCS coding systems
+ In-depth knowledge of CMS, Medicare, HIPAA, and payer-specific guidelines, especially for teaching hospitals
+ Proficient in analyzing and summarizing data using Excel, Word, and PowerPoint
+ Proven ability to develop training materials and educate staff on coding practices
+ Excellent organizational, leadership, and team-building skills
+ Demonstrated ability to manage multiple tasks, meet performance quotas, and adapt in a fast-paced environment
+ Experience with electronic medical records, preferably UCLA Health systems
+ Strong problem-solving skills, especially in resolving patient account and billing issues
+ Effective written and verbal communication skills, including professional correspondence and documentation
+ Ability to work independently, maintain confidentiality, and foster collaborative relationships across teams
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.
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Inpatient Coding Senior Manager

37230 Nashville, Tennessee HCA Healthcare

Posted 9 days ago

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**Description**
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Software Development / Software Engineer roles

20022 Washington, District Of Columbia CSSI

Posted 10 days ago

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Software Development / Software Engineer roles: Responsible for design, development, testing and deployment of the computer software. Provides feasibility analysis, problem definition, requirements development, and solution development. Documents and demonstrates solutions by developing documentation, flowcharts, layouts, diagrams, charts, code comments and clear code. Prepares and installs solutions by determining and designing system specifications, standards, and programming. Improves operations by conducting systems analysis, Recommends changes in policies and procedures. Develops software solutions by studying information needs; conferring with users; studying systems flow, data usage, and work processes by following the software development lifecycle.
  • Bachelor's Degree, or higher, in Computer Science, Electrical Engineering or Information Systems or related field with 2 years - 15 years of relevant experience.
  • Strong preference given to applicants having FAA, air traffic management, and/or aviation experience/education.
  • Candidates who are Non-Immigrant Aliens (not a U.S. Citizen) or an Immigrant Alien (U.S. Permanent Resident-Green Card Holder) must have resided in the U.S. for a minimum of three (3) years in the last five (5) years.

About CSSI

CSSI, LLC. has 30 years of experience working in complex, dynamic, safety critical systems supporting both government and commercial clients to address their toughest challenges, with efficient and low-risk solutions. Our collaborative work has improved the safety of transportation related human and systems infrastructure, increased the efficiency of the National Airspace System (NAS), and facilitated the modernization of both NAS and DoD systems and capabilities. Founded in 1990 and headquartered in Washington, D.C., CSSI employs nearly 200 employees throughout the country, helping customers across the United States and globally understand and implement the solutions to their biggest obstacles. For more information on CSSI, LLC. please visit

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Senior Client Coding Project Manager

99811 Juneau, Alaska Datavant

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Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
As a Sr. Client Coding Project Manager, you will plan, forecast, and manage client-facing coding projects. You will work directly with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects. Additionally, you will oversee the coding phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules.
**You will:**
+ Partner with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects, including creating and delivering content to clients describing Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality.
+ Oversee the coding phase of client projects to ensure that all parties are on track with project requirements, deadlines, and schedules.
+ Respond to client needs and proactively identify and resolve coding issues that impact project success metrics.
+ Prepare and deliver timely project performance reports by gathering, analyzing, and summarizing relevant information.
+ Ensure project deliverables adhere to quality standards.
+ Establish effective project communication plans (to coding staff, coding vendors, and clients) and ensure their execution.
+ Facilitate change requests to ensure that all parties are informed of the impacts on schedule and budget.
+ Coordinate the development of user manuals, coder training materials, and other documents as needed.
+ Manage client satisfaction within the project period.
+ Conduct post-project evaluation and identify successful and unsuccessful project elements.
+ Ensure effective use of project resources (staffing, budget).
+ Define project productivity and accuracy benchmarks and ensure coding teams deliver on them through collaboration with those responsible for coder performance management.
+ Drive quality assurance and performance improvement activities for coding projects.
+ Partner with peers in other departments to achieve company goals, develop a mutual understanding of roles, and foster a positive work environment.
+ Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets.
+ Provide guidance and make strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space.
**What you will bring to the table:**
+ Minimum Associate's degree, preferably in a healthcare-related field.
+ Bachelor's degree preferred, preferably in a healthcare-related field.
+ Minimum 8 years of coding experience.
+ Minimum 5 years managing coders in an outpatient or inpatient setting.
+ Current CCS, CRC, or CPC required.
+ Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience.
+ Familiarity with HIPAA patient privacy requirements.
+ Excellent communication and organizational skills.
+ Keen attention to detail.
+ Advanced problem-solving skills.
+ Proficient in Microsoft Office and G-Suite applications. Excel skills are a must.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$100,000-$125,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .
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Senior Client Coding Project Manager

62762 Springfield, Illinois Datavant

Posted today

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Job Description

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
As a Sr. Client Coding Project Manager, you will plan, forecast, and manage client-facing coding projects. You will work directly with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects. Additionally, you will oversee the coding phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules.
**You will:**
+ Partner with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects, including creating and delivering content to clients describing Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality.
+ Oversee the coding phase of client projects to ensure that all parties are on track with project requirements, deadlines, and schedules.
+ Respond to client needs and proactively identify and resolve coding issues that impact project success metrics.
+ Prepare and deliver timely project performance reports by gathering, analyzing, and summarizing relevant information.
+ Ensure project deliverables adhere to quality standards.
+ Establish effective project communication plans (to coding staff, coding vendors, and clients) and ensure their execution.
+ Facilitate change requests to ensure that all parties are informed of the impacts on schedule and budget.
+ Coordinate the development of user manuals, coder training materials, and other documents as needed.
+ Manage client satisfaction within the project period.
+ Conduct post-project evaluation and identify successful and unsuccessful project elements.
+ Ensure effective use of project resources (staffing, budget).
+ Define project productivity and accuracy benchmarks and ensure coding teams deliver on them through collaboration with those responsible for coder performance management.
+ Drive quality assurance and performance improvement activities for coding projects.
+ Partner with peers in other departments to achieve company goals, develop a mutual understanding of roles, and foster a positive work environment.
+ Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets.
+ Provide guidance and make strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space.
**What you will bring to the table:**
+ Minimum Associate's degree, preferably in a healthcare-related field.
+ Bachelor's degree preferred, preferably in a healthcare-related field.
+ Minimum 8 years of coding experience.
+ Minimum 5 years managing coders in an outpatient or inpatient setting.
+ Current CCS, CRC, or CPC required.
+ Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience.
+ Familiarity with HIPAA patient privacy requirements.
+ Excellent communication and organizational skills.
+ Keen attention to detail.
+ Advanced problem-solving skills.
+ Proficient in Microsoft Office and G-Suite applications. Excel skills are a must.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$100,000-$125,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .
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