Supervisor, Risk Adjustment Coding
UHS
Summary
The Risk Adjustment Coding Supervisor will be responsible for overseeing and auditing the coding team for accurate coding and reviews to ensure productivity and accuracy is maintained within all internal coding programs.
Job description
Job Summary
The Risk Adjustment Coding Supervisor will be responsible for overseeing and auditing the coding team for accurate coding and reviews to ensure productivity and accuracy is maintained within all internal coding programs.
The Supervisor will take an active role in developing, updating, and maintaining Prominence's coding policy therefore must demonstrate experience and knowledge in CMS Coding and Documentation Guidelines as well HCC coding policies.
- Support production coding as needed, assign and task work queues and projects to staff.
- Identify coders on the team that are not maintaining accuracy to conduct further training and set improvement plans.
- Identify opportunities for coding and documentation education for providers and work with the Prominence educator to successfully carry out trainings and education.
- Evaluate and assess the department's staffing needs, hiring, and conducting training/orientation.
- Report to the department Manager as well as assist with RADV audits, vendor relationships, and play a key role in decision making for the department to improve processes and establish better efficiencies.
Qualifications and Requirements
- High school education or GED required.
- Associate's degree preferred.
- Coding certification (CCS or CPC through AHIMA/AAPC).
- ICD-10 coding proficiency.
- 3-5 years' experience in CMS HCC risk adjustment coding.
- 2+ years' experience in a managed care setting.
- RHIT and CRC certification preferred.
- Ability to effectively communicate in English, both verbally and in writing.
- Proficient in Microsoft Office Suite, Word, Excel and Access.
- Excellent written and oral communication skills.
- Attention to detail.
- Billing experience is a plus.
- Comfortable working in a department with set productivity and coding accuracy standards.
- Experience with NCQA HEDIS programs preferred.
- Experience working in health care and health.
Requirements
- High school education or GED required
- Associate's degree preferred
- Coding certification (CCS or CPC through AHIMA/AAPC)
- ICD-10 coding proficiency
- 3-5 years' experience in CMS HCC risk adjustment coding
- 2+ years' experience in a managed care setting
- RHIT and CRC certification preferred
- Ability to effectively communicate in English, both verbally and in writing
- Proficient in Microsoft Office Suite, Word, Excel and Access
- Excellent written and oral communication skills
- Attention to detail
- Billing experience is a plus
- Comfortable working in a department with set productivity and coding accuracy standards
- Experience with NCQA HEDIS programs preferred
- Experience working in health care and health
Benefits
- Loan Forgiveness Program
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plan
- 401(k) Matching
- Discounted Stock Plan
- SoFi Student Loan Refinancing
- Career Development Opportunities
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.