Client Coding Project Manger (CCPM)

Responsibilities

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements.
• Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.
• Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.
• Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.
• Assist in the development of an effective training program regarding correct coding techniques/practices.
• Assist with training new auditors and training of other staff as needed.
• Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.
• Maintain a quality assurance program.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.
• What You Need to Succeed:
• Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA.
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Research and problem resolution skills.
• Proficient in Microsoft and G-Suite applications. Excel skills are a must.
• Exceptional interpersonal relationship skills.
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
• Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
• Exceptional interpersonal skills, proven success in complex and ambiguous environments.
• Ability to work independently, with high productivity, and regularly meet deadlines.
• Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style.
• Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

Benefits

Additional Information

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at datavant2? Share your experience