Project Manager

• 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

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