Job Description

Company: AHI agilon health, inc.
Location: Remote - CT
Job Title: Regional Coding Manager
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Essential Job Functions:

• Ability to manage coding programs across multiple Risk Bearing Entities or multiple markets within an RBE.
• Manages multiple and large teams that have the potential to be geographically dispersed
• Monitor coding and abstracting productivity and quality to ensure coding quality and performance improvement standards are maintained, achieved, and improved.
• Partner with multiple markets and enterprise risk adjustment leadership to create and support adherence to performance guidelines in terms of quality and productivity measure
• Manage and maintain a comprehensive tracking and management tool for Coding workload and prioritization.
• Manage coding activities for all assigned coders and ensure that all tasks are completed in a timely manner.
• Ensure compliance with all applicable federal, state, and local regulations, as well as with institutional/organizational standards, practices, policies, and procedures.
• Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment leadership teams.
• Keep updated on new statutes/regulations/policies and distribute updates as required
• Provide guidance in the coding/abstraction, production, and quality assurance, auditing, and training activities
• Support or perform chart reviews/HCC coding to ensure timely reviews Collaborate, develop, and sustain provider feedback and educational materials
• Provide regular reporting of key metrics
• Ability to work independently in a fast-paced environment
• Excellent verbal, written, and interpersonal communication skills
• Dependable, great attitude, highly motivated and a team player
• Possess strong organizational skills and attention to detail
• Other duties as assigned to meet the organization’s needs.

Required Qualifications:
1. Minimum Experience:

• 6+ years coding experience, including prior managerial experience
• 3+ years of Professional Coding experience in a medical group, IPA, MSO, or health plan setting is required

2. Education/Licensure:

• Bachelor’s Degree in business administration, Healthcare Management or in a related field or equivalent experience desired.
• One of the following Coding Certification CCS, CCS-P, CCA through AHIMA or CPC, COC, CIC through AAPC) required
• Additional CRC certification required
• Additional RHIA and /or RHIT preferred
• Proficient user in Microsoft Suite