Manager Risk Adjustment Coding and Quality Assurance
Location: Pearland Administrative Office
Job Type: Full-Time
Department: KelseyCare Advantage-Healthcare Finance
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.
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)
A. BA/BS in business or health care field OR Equivalent experience.
NOTE: RISK ADJUSTMENT EXPERIENCE IS REQUIRED
A. Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P)
A. Excellent Communication Skills