Datavant · 5 hours ago

Director, Coding Operations Support

United States

Full-time

Remote

Director/Executive

$145K/yr - $185K/yr

8+ years exp

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No H1B

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Responsibilities

Partner with Production and Quality operations on continuous improvement projects to ultimately improve our customer satisfaction

Respond to client needs and ensure customer satisfaction

Monitor coding projects to ensure that coders are making appropriate decisions and identify common themes in coding quality and accuracy

Troubleshoot and provide feedback on coding trends and process issues

Define productivity and accuracy benchmarks, and ensure coding and auditing teams meet the expectations

Drive quality assurance and performance improvement activities including review of coder decisions and continuing coder education

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

Partner with the client to ensure understanding of coding guidelines as well as provide feedback on guidelines and opportunities for coder improvement.

Prepare and deliver timely project performance reports to HCC Coding leadership

Act as a subject matter expert in coding working with product & engineering to develop best in class coding technology and coding Apps

Engage with National Health Plan leaders to strategize on Risk Adjustment program improvement

Oversee metrics for large projects embracing a data driven culture for success

Qualification

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Risk Adjustment codingCCS accreditationCRC accreditationCPC accreditationMedicare AdvantageCDIMedicaidCommercial Risk AdjustmentHIPAA complianceProduct developmentCoding Apps technologyRADV audit experienceHHS IVAData analysis