Supervisor, Risk Adjustment Coding

Prominence Health; Reno (NV); Presencial; USD 90.000 - 130.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Loan Forgiveness Program

Competitive Compensation

Generous Paid Time Off

Excellent Medical, Dental, Vision and

401(k) with company match

Descripción de la vacante

Prominence Health is seeking a Risk Adjustment Coding Supervisor to oversee and audit the coding team, ensuring accuracy and productivity across CMS HCC programs.

The supervisor will develop coding policies, train coders and work with providers to improve documentation. This role supports RADV audits and collaborates with the Educator to drive staff growth and department efficiency.

Formación

• CMS HCC risk adjustment coding experience required.
• 3–5 years in CMS HCC risk adjustment coding.
• 2+ years in a managed care setting.

Responsabilidades

• Oversee and audit the coding team for accuracy and productivity.
• Develop, update and maintain Prominence’s coding policy per CMS guidelines.
• Identify staff training needs and create improvement plans.
• Support RADV audits and vendor relationships.
• Report to the department Manager and assist with staffing decisions.

Conocimientos

CMS HCC coding

Communication

Microsoft Office

Detail oriented

English proficiency

Educación

HS education or GED

AHIMA/AAPC CCS or CPC

RHIT/CRC preferred

Herramientas

Excel

Access

Descripción del empleo

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary

The Risk Adjustment Coding Supervisor will be responsible for overseeing and auditing the coding team for accurate coding and reviews to ensure productivity and accuracy is maintained within all internal coding programs. The Supervisor will take an active role in developing, updating, and maintaining Prominence’s coding policy therefore must demonstrate experience and knowledge in CMS Coding and Documentation Guidelines as well HCC coding policies. The Coding Supervisor will support production coding as needed, assign and task work queues and projects to staff. The Supervisor will identify coders on the team that are not maintaining accuracy to conduct further training and set improvement plans. They will also identify opportunities for coding and documentation education for providers and work with the Prominence educator to successfully carry out trainings and education. The Supervisor will also be responsible for evaluating and assessing the department’s staffing needs, hiring, and conducting training/orientation. The Supervisor will report to the department Manager as well as assist with RADV audits, vendor relationships, and play a key role in decision making for the department to improve processes and establish better efficiencies.

Benefit Highlights

• Loan Forgiveness Program


• Challenging and rewarding work environment


• Competitive Compensation & Generous Paid Time Off


• Excellent Medical, Dental, Vision and Prescription Drug Plans


• 401(K) with company match and discounted stock plan


• SoFi Student Loan Refinancing Program


• Career development opportunities within UHS and its 300+ Subsidiaries!


• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

• High school education or GED required. Associate's degree preferred.


• Coding certification (CCS or CPC through AHIMA/AAPC) ICD-10 coding proficiency


• 3-5 years’ experience in CMS HCC risk adjustment coding
  
• 2+ years’ experience in a managed care setting


• RHIT and CRC certification preferred.


• Ability to effectively communicate in English, both verbally and in writing.


• Proficient in Microsoft Office Suite, Word, Excel and Access


• Excellent written and oral communication skills


• Attention to the detail.


• Billing experience is a plus.


• Comfortable working in a department with set productivity and coding accuracy standards Experience with NCQA HEDIS programs preferred. Experience working in health care and health

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.