Consultative Coding Manager

Role Overview

• Provide leadership and operational oversight for a team of IPA Consultative Coders within an assigned region
• Accountable for regional coding performance, provider engagement, and risk adjustment outcomes
• Align coding operations with market-specific provider needs, growth strategies, and membership trends
• Lead implementation of the Consultative Coding Model, transitioning from retrospective workflows to longitudinal provider support
• Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies

Requirements

• Bachelor's Degree or 5+ years of relevant risk adjustment coding experience within a healthcare setting
• 3+ years of leadership or management experience
• Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS)

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance