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Posted: Sunday, February 18, 2018 6:37 AM

Job Description
Currently, CareMount Medical is looking to hire a Director of HCC Coding and Quality Documentation for our large healthcare organization. This is an incredible opportunity for a career professional looking to make an impact on the business side of healthcare. If you have a Risk Adjustment certification through the AAPC and seeking excellent pay, benefits and career growth at one of New York States thriving healthcare organizatons, apply now
Position Overview: Develop and manage programs related to HCC coding, quality documentation, and HEDIS reviews; including workflow design, physician and staff education.
Essential Duties and Responsibilities:
* Manage HCC coding and quality documentation initiatives
* Interface with IT to provide guidance around automating CPT codes and other ways to capture work for reporting without disturbing workflow for the practice
* Develop and manage provider coding education program for risk adjustment coding, documentation and compliance
* Support Population Health team with related coding initiatives
* Develop and manage Group wide coding policies and procedures as it relates to HCC coding and, quality documentation
* Manage our 3rd party coding partners including auditing, trending, and feedback to providers.
* Develop and design process with payers to submit HCC coding updates for RAF programs.
* Manage, coach and train staff and physicians on new coding systems and implementations
* Conduct compliance training to HCC staff, new and existing.
* Monitor new physician documentation, perform in:service with providers, educate staff and providers of coding changes.
* Ensure compliance with all applicable federal, state and local regulations, as well as Group policies and procedures.
* Tracking coding trends by physician to identify educational opportunities
* Work with clinical leadership and IT to keep CareMount Medicals embedded tools up to date with latest HEDIS requirements
* Provide education and outreach to providers (in conjunction with clinical leadership) around changes in documentation requirements
* Help maintain dashboards and collaborate to strategize outreach on HEDIS outliers.
* Work with Clinical Leadership to prioritize HEDIS programs based on ease of achievement, clinical relevance, and ROI
Qualifications and Education:
* Bachelors Degree, or educational equivalent
* Risk Adjustment certification from AAPC
* Managerial experience and good organizational skills
* Experience with electronic health record systems and coding software
* Knowledge of laws and regulations pertaining to health information required.
* Advanced knowledge of Hedis and Quality Documentation
* Strong knowledge of chart
auditing/abstracting process
* Excellent written and verbal communication skills along with a working knowledge of word processing and PowerPoint systems.
All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. CareMount is an EO employer :
Company Description
Company Overview:
CareMount Medical, P.C. is the largest independent multispecialty medical group in New York State, providing comprehensive medical care of the highest quality to over 550,000 patients in 43 locations throughout Westchester, Putnam, Dutchess, Columbia, and Ulster counties. Founded in 1946 as Mount Kisco Medical Group, CareMount has grown to over 525 physicians and advanced practice professionals representing 40 different medical specialties. CareMount is affiliated with world:class organizations including the Massachusetts General Hospital, Mount Sinai Health System, and Memorial Sloan Kettering Cancer Center. CareMount offers on:site laboratory and radiology services, endoscopy and infusion suites and operates seven urgent:care cent


• Location: chappaqua, Westchester

• Post ID: 159612987 westchester is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018