Remote Consultative Coding Manager

Conviva Senior Primary Care; North Carolina; Remote; USD 86.000 - 119.000; Vollzeit

Zusammenfassung

Conviva Senior Primary Care, part of Humana, is seeking a Consultative Coding Manager to lead a diverse team of consultative coders ensuring accurate clinical documentation that supports coding and disease prevalence. You will partner with Divisional Coding Leaders to shape market strategies and promote compliant documentation across onshore and offshore teams.

The role requires extensive experience in coding, management, and Medicare Risk Adjustment knowledge, with travel up to 25% and

Qualifikationen

• Bachelor's degree or equivalent experience.
• 6+ years of technical experience including Microsoft Office Suite.
• 2+ years of management experience.
• CPC Certification.
• RHIA, RHIT, CCS, CPC Certification.
• Medicare Risk Adjustment based knowledge and experience.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• This position is market-based, and candidates must currently reside in Florida, Georgia, North Carolina or South Carolina.
• Must be able to travel approximately 25%.

Aufgaben

• Cultivate relationships with clinicians (Physicians and Advanced Practice Providers) to serve as the single point of contact for questions and issues relating to documentation and coding.
• In partnership with Divisional Coding Leaders, develops strategy for consultative coding to ensure market needs are being met.
• Cultivates relationships with Divisional Coding Leaders, Market Leaders, and Consultative Coders to share knowledge and best practices.
• Identify and recommend strategies for improving clinical documentation and coding for pre and post visit coding.
• Establish relationship with post-visit/offshore coding leadership.
• Develop continuous quality improvement initiatives.

Kenntnisse

People management

Microsoft Office

Clinical documentation knowledge

Healthcare coding experience

Communication with clinicians

Ausbildung

Bachelor's Degree or equivalent experience

CPC Certification

RHIA/RHIT/CCS Certifications

Tools

Microsoft Excel

Coding tools

Jobbeschreibung

Conviva Senior Primary Care, part of Humana, is seeking a Consultative Coding Manager to lead a diverse team of consultative coders ensuring accurate clinical documentation that supports coding and disease prevalence. You will partner with Divisional Coding Leaders to shape market strategies and promote compliant documentation across onshore and offshore teams.

The role requires extensive experience in coding, management, and Medicare Risk Adjustment knowledge, with travel up to 25% and