Manager, Clinical Documentation Retrospective Operations

Full Time
Remote
Posted
Job description

Join VillageMD as a Manager, Clinical Documentation Retrospective Operations (REMOTE)

Join the frontlines of today's healthcare transformation.

WHY VILLAGEMD

At VillageMD, we're looking for a Manager, Clinical Documentation Retrospective Operations to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best Primary Care Physicians and Advanced Practice Providers. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

OUR CULTURE AND VALUES

VillageMD is a group of collaborative, entrepreneurial and smart people who are united in our goal to improve primary care, making a difference in people's lives.

Get Stuff Done: We roll-up our sleeves and dive into the details, tackling the work at hand with infectious enthusiasm. We’re highly accountable for our work and the value we add, inspiring others with our constant ability to deliver results. No challenge is too small or too big.

Build Trust: We are humbled by those we serve and the importance of our vision. We invest in relationships with open and honest conversation seeking personal connections. We show respect for others in our words and actions. We do what we say we are going to do. We are knowledgeable, but always take the time to listen and learn.

Innovate: Our curiosity is endless, and challenging the status quo is a priority. New approaches are rewarded and we are always seeking to improve. We know that changing healthcare is hard, and we embrace the challenge.

COULD THIS BE YOU

As a Manager, Clinical Documentation Retrospective Operations, you will be accountable for developing, implementing and maintaining best in class clinical documentation retrospective operations to support coding best practices across a quickly growing, primary care practice network. As a member of our team, you will ensure accuracy and appropriateness of documentation to support coding initiatives across all patient populations, including but not limited to Medicare Advantage and Medicare FFS populations. Included in the scope of this role is process improvement, best in class workflow development, report review, and achieving overall documentation and HCC coding accuracy goals.

How You Will Get Things Done:

  • Manage end to end operations on retrospective clinical documentation workflows, including providing direction to the Clinical Validation Coding Team and vendor partners, as necessary
  • Assist in managing overall retrospective coding project plans, including determining project scope, timelines and performance tracking
  • Consistently monitor performance accuracy, relay performance results and escalate any performance issues as needed
  • Support Clinical Documentation and Coding Accuracy leadership in the oversight of all coding operations processes, identification of opportunities to improve the coding operations performance, as well as the coding accuracy of providers
  • Manage team and individual performance including development and deployment of performance improvement plans, coaching, and mentoring

How You Will Build Trust:

  • Effectively communicate and implement new coding education and initiatives with coding teams, including the appropriate change management support to ensure successful adoption
  • Lead a team of clinical validation coders and consistently monitor performance accuracy, relay performance results and escalate any performance issues as needed
  • Facilitate any necessary performance action planning and execution as needed
  • Effectively communicate and implement new coding education and initiatives with coding teams, including the appropriate change management support to ensure successful adoption

How You Will Innovate:

  • Create and document internal standards of existing program details, policies and procedures
  • Focus on program consistency and standardization supporting clinical documentation coding oversight
  • Recognize and develop coding best practices to share across the organization

EXPERIENCE TO DRIVE CHANGE

  • Bachelor’s degree in Health Information Management, Nursing or comparable field preferred
  • Professional Coding Certification such as CRC, CCS, CPC required
  • 5+ years of experience in advanced professional coding with 3+ years of recent HCC coding experience
  • Recent experience in leading coding teams or management preferred
  • Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
  • Knowledge and familiarity with Electronic Health Records documentation methodologies and workflow to support coding operations and provider documentation process
  • Demonstrated achievement with change management and quality improvement initiatives
  • Proven success in building relationships and establishing credibility with direct peers and team members, key stakeholders and other partners who impact coding operational success
  • Exceptional communication skills
  • High level of emotional intelligence
  • Ability to navigate resistance to change and solve problems effectively

HOW YOU WILL THRIVE

To help our employees be their best at home and at work, we’re pleased to invest in benefit programs that support their total well-being.

  • Physical Well-Being: Comprehensive health plans include medical and prescription, virtual care, dental, and vision benefits
  • Mental & Emotional Well-Being: Employee Assistance Program (EAP), Talkspace and access to other premiere mental health tools and applications, bereavement support
  • Career: Learning and development, clinician expense reimbursement and continuing medical education allowance
  • Personal and Time Off: Paid time off, paid holidays, volunteer time off, parental leave
  • Financial Well-Being: 401(k) with match, HSA, FSAs, commuter accounts, team member discounts, life, AD&D and disability, financial & legal consultations

Our unique Village Medical culture – how inclusion and diversity make the difference.

We believe building trust, acceptance and respect is rooted in an understanding that people do not experience things in the same way. Employment candidates are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

For Colorado Residents only: The base compensation range for this role is $88,000 to $111,000. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. This role may be eligible for annual/quarterly bonus incentives (if applicable), and the selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan with company match.

Explore your future with VillageMD as a Manager, Clinical Documentation Retrospective Operations today!

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