Manager Coding

CommonSpirit Health; Bakersfield (CA); Remote; USD 80,000 - 110,000; Full time

Job summary

An established industry player is seeking a Value Based Coding Manager to lead a dedicated team focused on enhancing coding practices within a multi-clinic system. This remote position offers a unique opportunity to drive quality and efficiency in healthcare coding while collaborating with physicians and staff. As a key player in the organization, you will oversee education programs, ensure compliance with HCC coding standards, and contribute to the overall success of patient care management. If you are passionate about healthcare and have a strong background in coding and team leadership, this role is perfect for you.

Benefits

Flexible Health & Welfare benefits

401k retirement plan with employer-match

Paid Time Off

Sick Leave

Health Spending Account (HSA)

Life Insurance

Long Term Disability

Qualifications

• 5+ years of experience in revenue cycle and coding required.
• Previous supervisory experience and ability to manage coding programs.

Responsibilities

• Lead and manage the Value Based Coding Team and operations.
• Ensure HCC risk adjustment model is met through education and auditing.

Skills

Revenue Cycle Management

Coding Education Programs

Team Leadership

HCC Coding Practices

Education

Bachelor's degree in Healthcare Administration or Finance or Business Administration

Tools

CPC Certification (AAPC)

CCS-P Certification (AHIMA)

CCS Certification (AHIMA)

Job description

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans, and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical, dental, and vision plans for the employee and their dependents, Health Spending Account (HSA), Life Insurance, and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

***This position is remote.

Position Summary:

The Value Based Coding Manager is responsible for providing leadership and direction to the Dignity Health Management Service Organization (DHMSO) Value Based Coding Team and managing the day-to-day operations to ensure the HCC risk adjustment model is being met for provider coding. Specifically through programs of education, auditing, support, and evaluation, that all appropriate value-based/HCC coding practices are met. Will oversee a team of Value Based coding professionals who will interact regularly with physicians, provider office staff, clinics, management, and individual coders in a way which ensures that the expectations for value-based, HCC coding are being met consistently, accurately, and efficiently for providers within the DHMSO networks.

Qualifications

Minimum Qualifications:

• Minimum five (5) years progressive experience in revenue cycle and/or coding required.
• Previous supervisory experience required.
• CPC (AAPC) or CCS-P or CCS (AHIMA) certification required - AAPC certification preferred.
• Demonstrated ability to manage a multi-clinic system coding and education program. Demonstrated ability to develop and conduct education programs for coders and physicians.

Preferred Qualifications:

• Bachelor's degree preferred. Preferred concentration in Healthcare Administration or Finance or Business Administration.
• Experience with ACA and Medicare risk adjustment coding strongly preferred.