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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Position Overview: The Risk Adjustment Coding Manager will lead our risk adjustment efforts to achieve effective documentation and coding practices while improving provider relationships. The Manager will identify and maximize practice and process improvement opportunities, provider performance trends, educate providers and their practices, audit and train coding team resources and review medical charts to perform coding work. The Manager will work collaboratively with Medical Directors, EHR teams, vendor partners, and PacificSource staff to drive the overall strategy. They will oversee the daily operations and work flow of medical coding ensuring that 100% of retrieved charts are coded. Ensures certified coders accurately validate appropriate ICD-10-CM diagnosis codes when conducting medical record reviews and/or other Risk Adjustment processes, while meeting quality, accuracy, and productivity standards.
Essential Responsibilities:
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