Risk Coding Manager

• Develop and adjust annual HCC coding guidelines. Train staff to successfully adhere to guidelines.
• Direct and revise the quality testing to achieve accuracy targets and adhere to required sampling/methods.
• Manage end-to-end delivery of projects to achieve accuracy and throughput expectations.
• Prioritize client deliverables.
• Provide coder/client feedback.
• Learn/understand client/internal products.
• Manages multiple and large remote coding teams.
• Accountable for the hiring and onboarding of all new Risk Adjustment team members (coders and QA staff)
• Responsible for team assignments, workload, and performance management.
• Communicate effectively with other departments in the organization.
• Understand, adhere to, and implement the Company’s policies and procedures.
• Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
• Engage in excellent communication which includes listening attentively, speaking professionally documenting client communications, presenting and communicating to multiple levels of client and internal management team members.
• Set and complete challenging goals.
• Demonstrate attention to detail and accuracy in work product.

• 5+ years, of experience in Risk Adjustment with expertise across multiple scopes such as RADV, MA, RSO, ACA
• 2+ years managerial experience of Risk Adjustment coding teams within the vendor community
• Must be able to interpret data, derive and operationalize action plans based on data
• Strong ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)

Aviacode