Oasis Health Partners

Healthcare

HeadofRiskAdjustment/CodingOperations

$200–250k Chicago, Illinois, United States FULL TIME
The Brief

“Head of Risk Adjustment/Coding Operations at Oasis Health Partners. Skills: Risk Adjustment, Coding Operations, Medicare Advantage, HCC Coding. Define enterprise risk adjustment strategy. Design risk adjustment programs”

What You'll Achieve.

Improve documentation accuracy; Improve coding performance; Maximize efficiency; Capture value; Reduce administrative burden; Enhance efficiency; Monitor impact; Guide prioritization

Industry & Context.

Healthcare

What They're Looking For.

Must Have

Bachelor's degree in healthcare administration, CRC, CPC, CPMA, or equivalent certifications, 10+ years Medicare Advantage risk adjustment, 7+ years leading certified coding teams, Demonstrated evolving risk adjustment programs, Working knowledge of V28 rules

Nice to Have

Start-Up experience a plus

What You'll Do.

Define enterprise risk adjustment strategy

Design risk adjustment programs

Lead coding operations

Establish performance metrics

Collaborate with Data teams

Ensure compliance with CMS

How You'll Work.

Team & Collaboration

Cross-functional leaders; Central Operations; Quality leaders; Data leaders; Clinical leaders; Market leaders; Technology teams; Health plans

Communication Scope

Provider education; Reporting

Free ATS check

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