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Supervisor Risk Adjustment (Remote: SW WA / OR)

Company: Providence Health & Services
Location: Beaverton
Posted on: November 20, 2022

Job Description:

Providence is seeking a Supervisor: Risk Adjustment to:



* Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices

* Serve as the first-level supervisory position

* Be responsible for assigning, directing, monitoring, and evaluating the work of the staff on a regular basis, as well as performing coding and abstracting duties in the division



We welcome 100% remote work for residents of SW Washington and Oregon.



In this position you will:



* Supervise and perform a wide range of activities pertaining to the review and coding of inpatient and outpatient medical record information

* Be Responsible to execute the business case model and subsequent annual work plans for the coding compliance and risk adjustment work

* Work closely with Director of Risk Adjustment for the reporting of correct CMS and HHS data

* Direct internal and external certified coders in the work of medical chart review and coding applications, including managing work distribution and flows

* Oversee project timelines and assign work appropriately to achieve project timelines

* Manage team workloads and coding capacity and ensure productivity standards are met and upheld

* Initiate reviews and performance management for direct reports

* Develop and update policies and procedures for coding compliance risk adjustment related work

* Seek out efficiencies and facilitate the implementation of those efficiencies

* Identify areas of non-compliance for diagnoses coding and establish appropriate education and interventions with coding team

* Perform coding and abstraction duties

* Participate in prospective and retrospective coding reviews

* Oversee and participate in RADV and other regulatory audits

* Adhere to and manage strict project timelines for retrospective reviews and RADV audits

* Maintain the foundation of compliance for all work performed within department

* Work with team members to understand and support professional growth goals and aspirations

* Create professional development opportunities within the team to support Caregiver growth



Required qualifications for this position include:



* Bachelor's Degree -OR- a combination of equivalent education and 4 years of related work experience

* Certified in one of the following areas: CPC, CCS, RHIT, or RHIA

* Work experience in a health care provider or health insurance environment

* Demonstrated leadership experience in Risk Adjustment (I.E. Lead, Supervisor)

* Experience in risk adjustment coding



Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Keywords: Providence Health & Services, Beaverton , Supervisor Risk Adjustment (Remote: SW WA / OR), Other , Beaverton, Oregon

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