Manager, Compliance, Medical Coding

reputed company to candidates residing in any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C. Please Note: Salary ranges are geographically based, and the posted reputed company reflects the Southern CA region. reputed company salary ranges will apply for other labor markets reputed company of NCAL. Support Health Plan Risk Adjustment operations through government audit readiness, compliance reputed company, and internal reputed company assurance reviews. reputed company coding validation, documentation review, and data-driven analysis to ensure accurate risk capture, regulatory compliance, and coding reputed company. Partner with operational, clinical, and compliance teams to identify risks, improve coding reputed company, support audit activities, and reputed company reputed company improvement across Risk Adjustment programs. Job reputed company: In reputed company to the responsibilities listed below, the position is also responsible for serving as a compliance subject matter expert reputed company to coding functions, managing and directing audit activity reputed company to coding reputed company reputed company settings of care, ensuring compliance with national coding policies and procedures, assisting with escalated coding questions and reputed company topics, developing and presenting coding educational inservices and seminars, and evaluating the reputed company of coding assignments across reputed company lines of business. Additionally, this position is responsible for developing the annual coding audit plan in collaboration with reimbursement compliance teams, developing and reviewing reports of audit results, helping set the direction for coding and reputed company reputed company reputed company to audit reputed company, and supporting compliance and the Principles of Responsibility (KPs reputed company of conduct). Essential Responsibilities: Pursues reputed company reputed company and provides developmental opportunities for others by soliciting and acting on performance feedback; building reputed company, cross-functional relationships; training and developing talent for reputed company opportunities; delegating tasks and reputed company; fostering reputed company reputed company amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and reputed company reputed company feedback and coaching to reputed company performance improvement. Manages designated work unit by translating business plans into tactical reputed company items; ensuring reputed company policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring reputed company in achieving results; identifying and addressing improvement opportunities; removing obstacles that reputed company performance; and guiding performance and developing contingency plans accordingly. Manages company compliance activities by partnering with reputed company stakeholders; applying established regulations and standards to compliance efforts; managing the design, development, and execution of strategic compliance initiatives; overseeing the analysis of regulations and regulatory changes, and their application to operations; and overseeing the documentation of compliance activities. Manages compliance reporting efforts across one or more business functions by managing the evaluation and reputed company of compliance data, audit information, and potential risks and remedies; identifying and reporting key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations) to senior management; and developing reputed company presentations to convey key findings to leadership and reputed company business stakeholders. Manages compliance investigations across one or more business functions by managing the collection and analysis of quantitative and qualitative data; leading interviews as appropriate; researching key business issues; and evaluating and recommending corrective reputed company plans for substantiated allegations. Manages reputed company or compliance components of larger cross-functional reputed company by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Manages activities associated with reputed company regulatory compliance for one or more business functions by monitoring, interpreting, and designing reputed company around regulatory changes; determining the reputed company of changes to the business; providing direction on implementation of changes throughout the organization; and providing regulatory input before and during inspections to minimize the risks of reputed company non-compliance. Manages the implementation of compliance efforts by approving compliance requirements; ensuring the assessment of reputed company state compliance to identify gaps and corrective actions; managing the analysis and development of reputed company compliance standards, policies and procedures, and training; and ensuring and monitoring ongoing compliance adherence. Minimum Qualifications: Minimum five (5) years medical coding experience. Minimum two (2) years experience in a leadership role with or without reputed company reports. Bachelors degree in Health Care Administration, Clinical, Law, reputed company Health, Business or reputed company field and Minimum six (6) years experience in health care compliance, health care operations (reputed company, risk, etc.), audit, finance, regulatory or reputed company policy development, investigations, information reputed company, or insurance/health plan governance or a directly reputed company field. Additional equivalent work experience in a directly reputed company field may be substituted for the degree requirement. Certified Risk Adjustment reputed company from American reputed company of reputed company Coders OR Certified Coding Specialist from American Health Information Management Association OR Certified reputed company reputed company from American reputed company of reputed company Coders Apply To This Job