Supervisor Risk Coding Non-clinical

Position Purpose :

This position that reports to the Manager of Risk Adjustment for Steward Health Care Network. Supervises the daily operational activities for the Risk Adjustment Coding team and provides education and support on risk adjustment to internal team members, Providers and Practices either in person or via Teams.

Monitors daily quality, productivity, and training of team members.

Key Responsibilities :

Supervises risk coding staff and workflow including guidance and training for staff on auditing provider records for risk adjustment opportunities.

Review provider charts and delegate to team members to stratify strategically to capture risk adjusting conditions. Provide support through discussion of complex cases, answering questions, and interfacing with members of the performance leadership team

Creates and maintains a complex tracking system to measure and monitor team and provider performance. Helps coordinate team and Provider improvement initiatives Reviews quality of coding staff’s audits and provides feedback to coders.

Monitors employee productivity and provides appropriate coaching and feedback

Identifies provider education opportunities to improve documentation and helps implement and disseminate information to providers and appropriate staff.

1 : 1 Providers trainings and meetings either on site or through Teams. Ensure compliance with company policies and procedures.

Ensure compliance with language of training materials for Providers

Participates in new employee selection processes and conducts new hire training for the Risk Coders. Perform other duties as requested

Education :

• Bachelor’s degree preferred
• Certified Professional Coder (CPC) and a Certified Risk Coder (CRC)

Years of Experience :

• A minimum of 3 years professional coding experience, 1 year in a supervisory capacity
• A minimum of 2 years’ experience in risk adjustment

Specialized Knowledge :

• Understanding of CMS HCC Risk Adjustment, Medicaid and Commercial HHS-HCC Risk Adjustment and data validation requirements
• Experience with creation of training documents, educational materials with compliant language
• Advanced knowledge of CPT and ICD-10 coding required
• Computer literacy of electronic medical records
• Proficiency in MS office (Outlook, Excel, Word, PowerPoint) required
• Outstanding project management skills with an action / results orientation and strong relationship building skills

About Steward Health Care

Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.

One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients.

Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.