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Remote

Manager, Coding Quality

WellSky
parental leave, paid time off, paid holidays, 401(k)
United States
Dec 23, 2024

WellSky is on the hunt for a dynamic Manager, Coding Quality, to join our high-impact Advisory Outsource Services Team! This is a thrilling opportunity to play a pivotal role in revolutionizing the healthcare industry. If you're passionate about making a real difference and are ready to take on exciting challenges, we want to hear from you! Check out the details below and apply today to be part of something truly transformative!

A day in the life!

You will be responsible for the following:

  • Deep understanding of COPs, PDGM and other relevant CMS guidelines, ensuring these standards are consistently applied and adhered to by the team.

  • Results driven and detailed orientation to oversee and enhance coding and OASIS review processes.

  • Identify trends in data and highlight opportunities for improvement and recognize areas of success. Provide actionable insights to drive quality outcomes and operational insights to drive quality outcomes and operational efficiencies. Uses data to drive decision-making.

  • Providing day-to-day management to the stateside Coding Quality team, and oversite of international teams.

  • Partnering with clients to ensure the highest level of coding success and client satisfaction

  • Managing services to ensure delivery in accordance with operational support, policies, and procedures to ensure appropriate coding practices, regulatory, and contractual compliance

  • Collaborating with the Education team in identification of education opportunities for individuals and/or groups of coders/reviewers and participating in the evaluation of application through reviewing of the quality data.

  • Collaborating with Coding Operations and international teams to maintain an adequate supply of highly trained coders that ensures client satisfaction.

  • Responding to client questions, product issues, and training teammates.

  • Performing other job duties as assigned

Do you have what it takes?

Required Qualifications:

  • 4-6 years related work experience

  • Experience with informal mentoring or directing the work of others

  • Coding and OASIS certification

Preferred Qualifications:

  • Clinical background preferred with home care/hospice experience

Additional job expectations applicable to this position include:

  • Willingness to work additional or irregular hours as needed
  • Working in accordance with corporate and organizational security policies and procedures
  • Performing other responsibilities as assigned

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

  • Excellent medical, dental, and vision benefits
  • Mental health benefits through TelaDoc
  • Prescription drug coverage
  • Generous paid time off, plus 13 paid holidays
  • Paid parental leave
  • 100% vested 401(K) retirement plans
  • Educational assistance up to $2500 per year
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