Director of AAPC Services
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Job Description
Managing Director providing operational leadership across Professional Audit, Revenue Cycle, Risk Adjustment, and CDI service lines. Overseeing day-to-day operations and ensuring growth and viability of the department.
Responsibilities:
- Provide operational leadership across Professional Audit, Revenue Cycle, Risk Adjustment, and CDI service lines
- Oversee the day-to-day operations for professional audits and consulting related services
- Work with the division vice president and other senior leadership to assist in ongoing enhancement of RCM offerings
- Forecast, strategic plan, and set goals to ensure growth and viability of the department
- Monitor departmental performance metrics and goals and communicate with senior leadership teams
- Manage client needs and expectations
- Responsible for coordinating the allocation and assignment of department resources
- Manage auditors and contractors to ensure smooth operations of daily activities
- Responsible for maintaining department standards, protocols, and guidelines
- Oversee efforts to recruit and attract both internal and external resources
- Manage team performance metrics and goals
Requirements:
- Minimum 10 years in the healthcare setting, with 5 of those years in a management position
- Minimum 5 years auditing and outpatient CDI experience
- Extensive coding experience in multiple specialties
- Understanding of risk adjustment models (e.g. HCC, PACE, Medicaid) and workflows
- Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
- Excellent communication skills with the ability to deal effectively with physicians, management, and staff
- Demonstrated ability to successfully manage multiple projects simultaneously
- Experience developing and delivering training material, PowerPoint presentations, webinars and reports for physicians, management, and auditors
- Strong organizational skills and work ethics
- Detail oriented and deadline driven attitude
- Strong leadership skills
- Proficient in Windows, Excel, Word, and PowerPoint
- Certification Requirements: CPC CRC or equivalent experience CPMA or RHIT or RRA CDEO
Benefits:
- medical, dental and vision insurance
- 401(k) retirement plan
- Health Savings Account (HSA)
- generous PTO and holiday pay
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