Datavant

Connecting the world’s health data to improve patient outcomes.

Risk Adjustment Client Coding Project Manager

Project ManagerProject ManagerFull TimeRemoteTeam 201-500Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

22 days ago

Salary

$81K - $95K / year

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

• Maintain a quality assurance program • Play a key role in ensuring coding compliance and accuracy • Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors • Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements. • Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. • Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented. • Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed. • Assist in the development of an effective training program regarding correct coding techniques/practices • Assist with training new auditors and training of other staff as needed. • Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum. • Perform other duties as assigned

Job Requirements

  • Bachelor’s degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA.
  • Expert knowledge of Risk Adjustment.
  • Research and problem resolution skills.
  • Exceptional interpersonal relationship skills.
  • Must possess strong managerial, financial, and analytical skills.
  • Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
  • Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
  • Experience overseeing remote (Work at Home) operations.
  • Exceptional interpersonal skills, proven success in complex and ambiguous environments.
  • Ability to work independently, with high productivity, and regularly meet deadlines.
  • Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style.
  • Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

Benefits

  • Health insurance
  • 401(k)
  • Paid time off
  • Remote work flexibility
  • Professional development opportunities

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