DaVita Sr Manager Medical Coding Services in ALBUQUERQUE, New Mexico

Sr Manager Medical Coding Services

Description

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.

Overview:

The Sr. ManagerMedical Coding Services is responsible for the administration and management ofthe Medical Coding Services Department. Has oversight to ensure procedures arein compliance with relevant accrediting, regulatory, and other payerrequirements. Oversees the auditing, coding, education, and support efforts ofthe department’s certified medical coders in their assigned clinics, ensuring(1) they acquire and maintain appropriate coding and related knowledge, and (2)all clinics receive consistent, accurate, timely, and high quality coding andrelated services. Adheres to policies, procedures and regulations toensure compliance and patient safety. Participation in Compliance andother important training is a condition of employment.

Essential Functions:

  • 1.Manages the MedicalCoding Team on coding, auditing activities and overall education and generalsupport of the coding functions.2.Interprets, providesfeedback and acts as the subject matter expert of CMS regulations,documentation guidelines, and HCC reimbursement methodologies.3.Provides management,training. Mentoring and coaching for the coding staff to help ensure accomplishmentof organizational and departmental goals. Provides feedback and suggestions to improvecoding accuracy and documentation.4.Maintainsappropriate, consistent communications with department management, medicalstaff, and physicians as required to successfully resolve coding issues.5.Works closely withRevenue Operations to ensure the integrity, accuracy, and appropriateapplication of all edits built and operating via the Flowcast Ingenix codingscrubber software. Facilitates determination of the need for new edits, as wellas their design and implementation, helping ensure compliance whileappropriately maximizing reimbursement.6.Assists in thepreparation and monitors the department’s Operating & Capital budgets.Addresses variances in a timely manner.7.Assistsin the development policies, processes, strategies and goals that support thedepartment and the organization’s direction.8.Performs other dutiesas assigned.

Qualifications

Education:

  • Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two year college.

  • Master's Degree, MBA.

Experience:

  • Over 3-5 years and up to and including 5 years of management experience.

Knowledge, Skills, and Abilities:

  • Computer literate.

  • Working knowledge of Microsoft applications (Word, Excel, PowerPoint).

  • Knowledge of medical billing and office automation software.

  • Excellent verbal and written communication skills.

  • Interviewing and interpersonal skills.

DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.

Primary Location NM-ALBUQUERQUE - 87102

Req ID: 314360