Kelsey-Seybold

Manager Risk Adjustment Coding & Quality Assurance

US-TX-Pearland
3 months ago
Job ID
2017-18064
Category
Professional/Managerial

Overview

Manager Risk Adjustment Coding and Quality Assurance

Location: Pearland Administrative Office

Job Type: Full-Time

Department: KelseyCare Advantage-Healthcare Finance

 

COMPANY PROFILE

Kelsey-Seybold Clinic. Your Doctors for Life.

Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor.  Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 21 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.​​

 

 JOB SUMMARY

This position is responsible for support of Physicians, Operations and Business Office (including Ambulatory Surgery Center) of KSC in providing training materials, both formal and informal communication to support staff and ensuring compliance with regulatory requirements surrounding physician billing. The incumbent will enhance and revise policies and procedures as necessary, communicate changes to all affected departments within KSC, prepare formal recommendations to increase reimbursement through accurate coding and billing. 

 

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

 

EDUCATION:

 

A. BA/BS in business or health care field OR Equivalent experience.

 

EXPERIENCE:

A.

 

  • 5 years physician coding/billing
  • Experience in performing chart audits
  • Experience in presenting educational materials to physicians
  • 2 years in supervisory capacity
  • 5 years of experience in multi-specialty setting
  • Experience with Medicare/Medicaid and CMS regulations

NOTE:  RISK ADJUSTMENT EXPERIENCE IS REQUIRED

 

LICENSES:

A. Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P)

 

SPECIAL SKILLS:

A.

  • Proficient PS Skills (Excel, PowerPoint, Access)
  • Excellent communication skills

OTHER:

A.  Excellent Communication Skills

 

 

Qualifications

 

 

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