Marketing Coordinator
Willful
Project Manager, Client Coding
Datavant
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $78,000 - $92,000 per year
Job Level
Mid-LevelSenior
About the role
- Maintain a quality assurance program for risk adjustment coding audits
- Play a key role in ensuring coding compliance and accuracy
- Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors
- Provide expertise related to coding compliance for new and existing services ensuring compliance with organizational, federal, state, and third-party requirements
- Assist in communicating information through presentations, reports, educational programs, memoranda, and formal/informal education to QA specialists, coding vendors and staff
- Report findings to Leadership timely and ensure appropriate changes are implemented
- Support audit processes ensuring workflows and results are properly documented and maintained
- Identify process improvements as needed
- Assist in development of training program regarding correct coding techniques/practices and train new auditors and other staff
- Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum
- Perform other duties as assigned
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
- 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
- Experience overseeing remote (Work at Home) operations
- 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
