Director, HCC Coding

Job Description

Position Summary :

Position Overview : Director of HCC Coding

The Director of HCC Coding is responsible for planning, organizing, directing, and controlling the activities and staff needed to conduct chart reviews, data validation, medical record organization, scanning, and ensuring timely feedback to providers. This role includes organizing, training, and directing the activities of the HCC department. The Director directly oversees HCC Coders and Auditors, in addition to managing chart reviews and special projects.

Essential Duties and Responsibilities :

• Address all provider issues and provide training for providers.
• Manage special projects and audits as assigned by the CFO.
• Ensure compliance from coders and the timely submission of provider feedback.
• Maintain departmental communication and processes to improve coding accuracy and data validation standards.
• Assist in developing workflows for coders and auditors.
• Conduct random audits of coders at all levels to ensure departmental quality.
• Manage NextGen coders and oversee billing for all Lakeside Senior HMO encounters.
• Review and provide feedback for RMG-employed physicians within the Senior HMO.
• Participate in meetings to create, analyze, apply, interpret, and communicate policies, procedures, and regulations effectively.
• Support company activities related to strategic goals and management meetings as required.
• Establish and ensure compliance with departmental goals, implementing procedures and performance standards to achieve these objectives.
• Lead HR activities for the staff, which include making employment decisions, recommending promotions, conducting timely performance evaluations, providing training, motivating staff, and issuing counseling and disciplinary actions as needed.
• Be responsible for maintaining all timekeeping activities in ADP for staff members.
• Prepare departmental reports as required.
• Recommend process improvements based on tracking and trending reports.
• Implement and coordinate processes for issue resolution.
• Perform other duties as assigned by management.

Compensation and Benefits :

The expected annual pay range for this position upon commencement of employment is between $140,000 and $160,000. However, the base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package may also include additional elements such as sign-on bonuses and discretionary awards, along with a full range of medical and financial benefits (including 401(k) eligibility and various paid time off benefits such as vacation, sick time, and parental leave), depending on the position offered. Details regarding participation in these benefit plans will be provided to employees who receive an offer of employment.

If hired, the employee will be in an "at-will position," and the company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time. Changes may be made for reasons related to individual performance, company or department / team performance, and market factors.

Comprehensive Benefits Package :

Regal Medical Group provides a comprehensive benefits package for full-time employees, emphasizing employee satisfaction and work-life balance.

The package includes :

Health and Wellness :

Savings and Retirement :

Additional Benefits :

The employer will consider qualified applicants with criminal histories for employment consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.