Manager, Coding Quality

The Manager, Coding Quality is responsible for providing oversight of teammates and vendor teams to ensure medical coding practices are compliant with regulatory standards. The scope of this job includes evaluating the department coding audit program and collaborating with operations and education teams to ensure quality, education, and productivity are achieved.

We invite you to apply today and join us in shaping the future of healthcare! 

Key Responsibilities:

• Manage the quality program by understanding and applying COPs, coding guidelines, and all other appropriate CMS program guidelines as it relates to home health care and hospice into day-to-day activities and ensure these standards are followed by the team.
• Manage stateside workforce and workforce planning by monitoring daily production queue metrics to anticipate and address staffing challenges in real time.
• Evaluate identified education enhancement opportunities for medical coding professionals, review changes in the quality metrics, and assist in education development and execution as needed.
• In partnership with the coding operations team, plan and prioritize maintaining an adequate threshold of highly trained medical coders that ensure client satisfaction.
• Analyze and report key performance indicators data to relevant teammates on a regular basis, assess trends as needs to anticipate issues, and ideate solutions as data indicates.
• Perform other job duties as assigned.

Required Qualifications:

• Bachelor’s Degree or equivalent work experience
• At least 4-6 years of relevant work experience
• At least 0-1 years of relevant management work experience
• Coding Certified (HCS-D or BCHH-C) 
• OASIS certification and/or experience in OASIS review

Job Expectations:

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical, dental, and vision benefits
• Mental health benefits through TelaDoc
• Prescription drug coverage
• Generous paid time off, plus 13 paid holidays
• Paid parental leave
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year