Client Coding Project Manger (CCPM)
Core
Manage risk adjustment coding audits and quality assurance programs for healthcare data solutions.
Role type
Senior IC Client Coding Project Manager (Risk Adjustment)
Builds
Risk adjustment coding compliance and quality assurance workflows for healthcare organizations
Domain
Healthcare / Risk Adjustment Coding
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Risk Adjustment expertise, coding compliance knowledge, project management, process improvement, training development, policy creation
Preferred skills
Bachelor's degree in relevant field, 3-5 years related work experience as a coder, 5+ years coding experience in risk adjustment (ACA and MA), 1+ years project management experience
Technologies
Microsoft Office, G-Suite, Excel
Responsibilities
Monitor performance of Risk Adjustment Operations internally and with vendors, ensure compliance with federal/state/third-party requirements, educate staff and vendors on coding improvements, report findings to leadership, support audit processes and documentation, develop training programs for auditors and staff, maintain quality assurance programs
Seniority
Senior, hands-on IC
