Manager, Coding Quality

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Home Health, HospiceIndustries

Requirements

Candidates must possess a Bachelor's Degree or equivalent work experience, with 4-6 years of relevant work experience and 0-1 years of management experience. A Coding Certification (HCS-D or BCHH-C) is required, along with OASIS certification and/or experience in OASIS review. The role also requires willingness to work additional hours and adhere to security policies.

Responsibilities

The Manager, Coding Quality will oversee teams to ensure medical coding practices comply with regulatory standards, including COPs and CMS guidelines for home health and hospice. Responsibilities include managing the department's coding audit program, evaluating education opportunities, and collaborating with operations and education teams to achieve quality, education, and productivity goals. The manager will also monitor production metrics, manage workforce planning, prioritize the training of medical coders, and analyze/report on key performance indicators to identify trends and solutions.

Skills

Medical Coding

COPs

CMS Guidelines

OASIS

Quality Auditing

Team Management

Performance Metrics

Data Analysis

HCS-D

BCHH-C

WellSky

Healthcare software and community care solutions

About WellSky

WellSky offers software and services to improve health and community care, making it easier for providers and patients to access and navigate care. Its products, like the WellSky Value Based Care Suite, integrate with Electronic Health Record (EHR) systems to enhance care coordination. WellSky stands out by providing a comprehensive range of solutions, including strategic consulting and revenue cycle management, which help clients operate more efficiently. The company's goal is to enhance care delivery and improve individuals' quality of life through effective solutions.

Reston, VirginiaHeadquarters

1980Year Founded

$34.5MTotal Funding

DEBTCompany Stage

Social Impact, HealthcareIndustries

1,001-5,000Employees

Benefits

High deductible health plan with a generous employer contribution

PPO medical plan

Dental and vision insurance

401(k) plan with access to financial advisors who can provide personal financial guidance at no cost

Robust paid time off, including holidays, vacation, well-being, and volunteer days

Flexible spending accounts (medical and dependent)

Life and disability insurance

Educational assistance

Employee Assistance Plan with free and confidential emotional, financial, legal, and family resources

Risks

Integration challenges with acquisitions like Bonafide may cause operational inefficiencies.

Data privacy issues may arise from collaborations in the nonprofit sector.

Dependency on third-party systems increases exposure to partners' operational risks.

Differentiation

WellSky offers comprehensive solutions across the full continuum of care.

The company integrates with any EHR system to improve care coordination.

WellSky's services include strategic consulting, compliance, and revenue cycle management.

Upsides

Growing demand for integrated care solutions boosts WellSky's market potential.

Value-based care models align with WellSky's offerings, enhancing growth opportunities.

Acquisitions like TapCloud enhance patient engagement and reduce costs.

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