Manager, HCC Risk Adjustment Coding - remote

Manager, HCC Risk Adjustment Coding

Remote, United States

Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

By joining Datavant today, youre stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We hire for three traits: we want people who are smart, nice, and get things done. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.

What we need

Manager, HCC Codingis responsible forthe oversight and management of coding production, quality, and vendor management. This roleis responsible forensuring adherence to departmental goals, quality standards, metrics, policies, etc. They will provide leadership and guidanceregardingactivity, status, trends, coaching/feedback methods and coordination ofadditionalresources to support coding production and quality.

You Will:

• Create and manage teams daily, weekly and monthly production and quality goals to ensure that department objectives are met.
• Cross functional collaboration to ensure that QA, trends and education is provided timely and accurately to team members.
• Maintain internal coding policies and procedures to ensure compliance, coding consistency and up to date coding practices.
• Oversee onboarding, staffing plans and staff performance to ensure optimal talent management and utilization.
• Effective team management and utilization to achieve coding operational KPIs.
• Accountability and mentoring of supervisors and staff to business values and coding operations KPIs
• Reporting to coding leadership on business trends and project coding patterns as well as an obstacles to achieving KPIs or deadline.
• Collaboration with the Training/Education Department with a focus on content development/design, training coordination and facilitation
• Manage all aspects of the Auditing and Quality Department for remote coding teams as well as field teams as necessary.
• Monitor and report effectiveness of training programs from research, benchmark, propose training and development opportunities to drive continuous improvement.
• Approve team members PTO and manage staffs time out of office while continuing to meet department Auditing and Quality goals.
• Knowledge and expertise in use of NLP and AI technology in coding business.
• Collaboration with coding production to achieve 95% coding quality accuracy at project level.
• Accountability and mentoring of quality and audit supervisors and audit staff to business values and coding operations KPIs.
• Vendor oversight performing production and quality oversight for both onshore and offshore vendors.
• Facilitate communication in regards to production and quality KPI metrics with vendors.
• Monthly reconciliation of vendor performance metrics to assist with billing and SLA penalties if applicable.
• Provide operational assistance to vendors regarding training, project assignment and system support.
• Business related travel up to 20%.

  What You Will Bring to the Table:

  • Bachelors Degree or a minimum of five years of equivalent experience in quality and/or coding management role(s) with increasing level of responsibility.
  • A minimum of 5 years of experience in risk adjustment coding and/or auditing experience.
  • Experience with adult learning methodologies and distance learning preferred
  • Excellent written and oral communication skills.
  • Strong managerial, leadership, and interpersonal skills.
  • Outstanding organizational skills.
  • Ability to communicate effectively with all levels of the organization.
  • Ability to work effectively in a remote, team environment.
  • Flexibility in work schedule to meet departmental needs.
  • Strong analytical and problem-solving skills to grasp the key points from complicated details and provide direction/ coaching to members of the team.
  • A strongknowledge base of medical terminology, medical abbreviations, pharmacology and disease processes.
  • Ability to analyze data to determine the root cause of identified quality/production concerns.
  • Must be able to follow instructions, meet deadlines and work independently.
  • Intermediate Excel skills and the ability to use other Microsoft applications
  • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC)