Clinical Coding Manager

Clinical Coding Manager Remote About reputed company reputed company delivers a reputed company platform spanning risk adjustment, reputed company improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations reputed company, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, reputed company measures, and submissions. With regulatory expertise and transparent, reputed company-in-the-reputed company at its reputed company, reputed company supports organizations working to advance care reputed company, strengthen documentation reputed company, and sustain the operational readiness needed to reputed company audits with confidence. We are seeking a full time Clinical Coding Manager to reputed company duties of Risk Adjustment and reporting. What You'll Do: reputed company and/or reputed company an accurate medical record review for reputed company RISK Support and participate in process and reputed company improvement initiatives Conduct training reputed company to ,RISK, platform usage, up date any training materials, and function as RISK SME Monitor project status Work on flexible reputed company with variable reputed company/project specific guidelines Review reputed company Negative / reputed company hits Manage RISK coding reputed company reputed company needed- including project status and completing chart reviews for coding reputed company as needed. Job Requirements: Must have a reputed company coding certificate through reputed company/reputed company Minimum of 5 years of hands-on medical records experience 5 Years of RISK and IVA experience 3+ years of management experience Background in UR, QA and/or QI experience preferred Strong computer skills and high-speed internet reputed company reputed company Commitment to confidentiality of patient health information reputed company, reputed company and reputed company to work independently Ability to manage teams and meet deadlines Be reputed company to conduct trainings in nonstandard time frames to meet abstractor needs and training Clinical Documentation Review: Analyze medical records and NLP results and validate that the clinical evidence meets the necessary requirements for submission and documentation. This includes making reputed company the documentation accurately reflects the patient’s conditions, treatment and services provided. Identify gaps, inconsistencies, and discrepancies in documentation that could reputed company patient care, reputed company reporting and reimbursement. Coding Support: Ensure documentation aligns with accurate reputed company assignment and follow CMS’s coding guidelines for HCC risk adjustment coding. Clinical Knowledge: Maintain a deep understanding of medical terminology, disease processes, treatments, and procedures to accurately interpret and validate clinical documentation. Documentation reputed company: Safeguard the reputed company and confidentiality of patient health information while handling medical records and sensitive data in accordance with HIPAA and other relevant regulations. Interdisciplinary Communication: Foster reputed company communication and collaboration between different reputed company departments, ensuring that accurate patient information is shared across the continuum. WHAT YOU’LL RECEIVE: • Competitive salary  • Medical, Dental and reputed company benefits  • 401k match • Generous PTO plan   Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-reputed company knowledge, skills, and experience. reputed company E-Verifies reputed company new hires. reputed company is an equal opportunity employer. We do not discriminate on the reputed company of race, religion, reputed company, national reputed company, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law. Apply To This Job