Director, Coding

Zing Health Holdings, Inc. • Chicago, IL

10d

About The Position

As the Director of Coding, you will maintain responsibility for accurate coding and abstracting of clinical information from the medical record. You will also set coding guidelines and maintain highest coding data quality and integrity. You will work to set up a coding team as the team expands to support prospective and retrospective chart reviews. You will continuously track and train the staff to ensure accuracy and completion of coding. You will work with contracted provider groups to provide training and guidance for coding. Experience working with Medicare Health plans is a must.

Requirements

• 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

Responsibilities

• Ensure coding practices and health plan coding guidelines meet national coding and compliance guidelines
• Hire and train new coding staff members in the team
• Provides necessary education for coding staff including ICD10, CPT2 and other necessary standards
• Continuously monitor and audit team’s work on coding accuracy and completion metrics.
• Build training and audit framework to support provider organizations managing our members
• Work closely with full risk provider organizations to ensure highest quality charts and adherence to plan’s coding guidelines
• Work closely with vendors providing chart extraction or health assessment capabilities to ensure highest quality adherence to coding guidelines
• Help other departments with coding reviews, questions and clarifications.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed