Risk Coding Manager

Coding Operations
Job posted on
Employment Type
Full Time
Experience range
5+ Years
Work Mode

Job description

Risk Coding Manager GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), Risk Adjustment (RA) / HEDIS & Quality solutions is seeking highly-motivated individuals, with a passion for excellence & collaboration, for careers in the healthcare industry. As it continues to capitalize on its strong foundation, GeBBS is seeking to identify outstanding leaders to join the organization. GeBBS Healthcare Solutions is currently seeking a Risk Coding Manager. This is a full-time remote position with full benefits.

  • 5+ years, of experience in Risk Adjustment with expertise across multiple scopes such as RADV, MA, RSO, ACA
  • 2+ years managerial experience of Risk Adjustment coding teams within the vendor community
  • Must be able to interpret data, derive and operationalize action plans based on data
  • Strong ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) EDUCATION/LICENSURE
  • CRC coding credential required, additional preferred coding credentials (CPC, CCS, CCS-P)
  • Candidates must be US-based.
  • Develop and adjust annual HCC coding guidelines. Train staff to successfully adhere to guidelines.
  • Direct and revise the quality testing to achieve accuracy targets and adhere to required sampling/methods.
  • Manage end-to-end delivery of projects to achieve accuracy and throughput expectations.
  • Prioritize client deliverables.
  • Provide coder/client feedback.
  • Learn/understand client/internal products.
  • Manages multiple and large remote coding teams.
  • Accountable for the hiring and onboarding of all new Risk Adjustment team members (coders and QA staff)
  • Responsible for team assignments, workload, and performance management.
  • Communicate effectively with other departments in the organization.
  • Understand, adhere to, and implement the Company’s policies and procedures.
  • Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
  • Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
  • Engage in excellent communication which includes listening attentively, speaking professionally documenting client communications, presenting and communicating to multiple levels of client and internal management team members.
  • Set and complete challenging goals.
  • Demonstrate attention to detail and accuracy in work product.

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