Benefits Offered Vision, Medical, Life Insurance, 401k, Dental
Employment Type Full-Time
As Director, Clinical Coding & Quality Documentation, you will have the opportunity to manage programs related to HCC coding, quality documentation and HEDIS for NY's largest, physician-owned healthcare organization; 1 of only 2 in the state, awarded with NextGen ACO, and also recognized as a PCMH.
Position Overview: Develop and manage programs related to HCC coding, quality documentation, and HEDIS reviews; including workflow design, physician and staff education. Clinical background highly preferred; healthcare insurance very desirable
Essential Duties and Responsibilities:
Manage HCC coding and quality documentation initiatives
Interface with IT to provide guidance around automating CPT codes and other ways to capture work for reporting without disturbing workflow for the practice
Develop and manage provider coding education program for risk adjustment coding, documentation and compliance
Support Population Health team with related coding initiatives
Develop and manage Group wide coding policies and procedures as it relates to HCC coding and, quality documentation
Manage our 3rd party coding partners including auditing, trending, and feedback to providers.
Develop and design process with payers to submit HCC coding updates for RAF programs.
Manage, coach and train staff and physicians on new coding systems and implementations
Conduct compliance training to HCC staff, new and existing.
Monitor new physician documentation, perform in-service with providers, educate staff and providers of coding changes.
Ensure compliance with all applicable federal, state and local regulations, as well as Group policies and procedures.
Tracking coding trends by physician to identify educational opportunities
Work with clinical leadership and IT to keep CareMount Medical’s embedded tools up to date with latest HEDIS requirements
Provide education and outreach to providers (in conjunction with clinical leadership) around changes in documentation requirements
Help maintain dashboards and collaborate to strategize outreach on HEDIS outliers.
Work with Clinical Leadership to prioritize HEDIS programs based on ease of achievement, clinical relevance, and ROI
Qualifications and Education:
Bachelors Degree, or educational equivalent
Risk Adjustment certification from AAPC
Managerial experience and good organizational skills
Experience with electronic health record systems and coding software
Knowledge of laws and regulations pertaining to health information required.
Advanced knowledge of Hedis and Quality Documentation
Strong knowledge of chart auditing/abstracting process
Excellent written and verbal communication skills along with a working knowledge of word processing and PowerPoint systems.
All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. CareMount is an EO employer – M/F/Veteran/Disability
Caremount Medical - Clinical
Why Work Here?
New York's largest, physician-owned, multi specialty group.
CareMount Medical, P.C. is the largest independent multispecialty medical group in New York State, providing comprehensive medical care of the highest quality to over 640,000 patients in more than 45 locations throughout Westchester, Putnam, Dutchess, Columbia, and Ulster counties and New York City. Founded in 1946 as Mount Kisco Medical Group, CareMount has grown to over 600 physicians and advanced practice professionals representing more than 40 different medical specialties. CareMount is affiliated with world-class organizations including Massachusetts General Hospital, Mount Sinai Health System, and Memorial Sloan Kettering Cancer Center. CareMount offers on-site laboratory and radiology services, endoscopy and infusion suites, and operates eight urgent-care centers. Our physicians are frequently recognized as best doctors in respected publications and have been featured in lists including New York Magazine’s “Best Doctors,” Westchester and Hudson Valley Magazine’s “Top Doctors” as well as in Castle Connolly Medical’s “Top Doctors.” For additional information about CareMount Medical and its specialties, please visit: www.caremountmedical.com. CareMount Medical is a registered service mark of CareMount Medical P.C.
480 Bedford Road Chappaqua, NY 10514 Chappaqua, NY USA
CareMount Medical is the largest, independent multi-specialty medical group in New York State. CareMount Medical provides the highest quality medical care in over 40 different locations throughout Westchester, Putnam, Dutchess, Columbia and Ulster counties. We provide medical care to over 500,000 patients in 43 different locations.Founded in 1946, CareMount Medical has grown to 560 physicians representing 43 different medical specialties with major campuses in:Mount KiscoCarmelKatonahKingstonFishkillJefferson ValleyPoughkeepsieRhinebeck