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HCC Services- Supervisor National

Job ID 9971271 Date posted 11/14/2018
Working closely with the HCC Team Lead, you will provide leadership and support for the daily operations of the HCC Team, identify and implement documentation improvement strategies, and oversee charts as well as the preparation of reports for management on audit findings. In addition, you will serve as a liaison between management and staff, and provide support to management on a variety of special HCC projects. Responsibilities include: * Planning, organizing and coordinating the daily operations for the HCC team * Developing and implementing workflows on identified advancements/enhancements in the department * Training, educating and cross training staff * Monitoring and ensuring projects are kept on track * Ensuring accurate and appropriate documentation through oversight of chart audits * Overseeing and performing audit reviews for risk assessment purposes, as well as internal/external audits to monitor compliance to final resolution * Ensuring documentation meets requirements for diagnosis assignment, based on official ICD10 and HCC guidelines * Conducting audit reviews related to Coding Compliance initiatives * Communicating and meeting regularly with Providers and SMG staff regarding HCC coding changes and compliance issues * Assisting in the creation of individual provider education plans * Developing National Account, HCC approach and workflows * Tracking audit findings including all documentation errors; medical record errors; diagnosis errors and missed HCC opportunities in department database * Identifying audit trends, risk areas, and suspect conditions based on audit findings and data analysis * Working with project managers to implement an agreed strategy for identified projects * Handling other related functions as necessary
Job Requirements
Successful candidate will have a Bachelors Degree supported by 3 years of coding compliance experience that includes at least 2 years' experience with HCC/Risk Adjust Model auditing. Medical Coding Certificate, Coding Certifications (CRC, CPC, CCS-P, CCA, RHIT or RHIA), and an understanding of coding concepts, AMA, CMS/OIG/Federal/State regulations/guidelines, HCC and other risk adjustment reporting models and measurements are all essential. Candidate should also be able to create/maintain comprehensive tracking and management tools for providers for the HCC process, work to develop organizational goals, audit and/or abstract code medical record for proper assignment of diagnoses, and educate/train physicians, providers and other staff regarding HCC coding concepts and documentation. Solid leadership, decision-making, analytical, oral/written communication and PC (Word, Excel, PowerPoint) skills. Auditing, compliance, billing or practice management certifications (CEMC, CPCO, CPMA, CCP-P, CHC, CPPM, etc.) preferred.

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  • Coding and Compliance, Warren Township, New Jersey, United StatesRemove