Find & Apply For General Manager Jobs in Summerton, South Carolina

VP of Medical Coding

US, SC, Columbia, US, Statewide (SC)

Summary:

We are seeking an experienced and certified professional to join our team as the Director of Medical Coding. The ideal candidate will have 3-5 years of experience in medical coding, with a proven track record of leadership and providing education to staff coders and providers. This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices.

Key Responsibilities:

Leadership and Management:

• Lead and manage the medical coding team, ensuring efficient and accurate coding practices.
• Provide ongoing education and training to staff coders and healthcare providers to maintain high coding standards.
• Develop and implement coding policies and procedures to ensure compliance with industry regulations and guidelines.

Coding Quality and Compliance:

• Oversee the accuracy and integrity of coding processes, ensuring compliance with all relevant regulations and standards.
• Conduct regular audits and quality assurance reviews to identify areas for improvement and implement corrective actions as needed.
• Stay updated on the latest coding guidelines, industry trends, and regulatory changes, and communicate these updates to the coding team and providers.

Education and Training:

• Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding.
• Develop training materials, manuals, and resources to support continuous learning and professional development.

HCC/Risk Adjustment Expertise:

• Ensure accurate coding and documentation for HCC/Risk Adjustment to optimize reimbursement and support value-based care initiatives.
• Collaborate with clinical and administrative teams to improve documentation practices and capture all relevant diagnoses and conditions.

Strategic Planning and Implementation:

• Contribute to the development and execution of strategic plans to enhance the efficiency and effectiveness of the medical coding department.
• Work closely with senior leadership to align coding practices with organizational goals and objectives.

Qualifications:

• Professional certification in medical coding (e.g., CPC, CCS, or equivalent).
• 3-5 years of experience in medical coding, with a minimum of 2 years in a leadership role.
• In-depth knowledge of medical coding guidelines, including ICD-10, CPT, and HCC/Risk Adjustment.
• Proven experience in providing education and training to staff coders and healthcare providers.
• Strong leadership, communication, and interpersonal skills.
• Ability to work collaboratively with multidisciplinary teams and manage multiple priorities effectively.
• Detail-oriented with a strong commitment to accuracy and compliance.

Preferred Qualifications:

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
• Experience with electronic health records (EHR) and coding software systems.
• Advanced certifications in medical coding or healthcare management.