Director, Coding
On-siteChicago, Illinois, United States
Job Summary
Maintain responsibility for accurate coding and abstracting of clinical information from medical records while setting coding guidelines to ensure data quality and integrity. Establish and train a coding team to support prospective and retrospective chart reviews, continuously monitoring audit metrics for accuracy and completion. Collaborate with contracted provider groups and vendors to provide guidance on Medicare Risk Adjustment guidelines, ICD-10-CM, and CPT standards. Build a comprehensive training and audit framework for provider organizations managing members, while assisting other departments with coding reviews and clarifications. Requires Certified Coder status (AAPC or AHIMA), 15+ years of experience, and capacity to work independently.
Required Qualifications
- Thorough knowledge of ICD-10-CM and CPT coding principles and rules
- Must be Certified Coder (AAPC or AHIMA)
- Experience with encoders and computerized abstracting systems
- Capacity to work independently
- Effective written and verbal communication skills
- Minimum 15+ years of coding experience
- Knowledge and experience of Medicare Risk Adjustment guidelines
- Experience working with Medicare Health plans
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.