What are the responsibilities and job description for the Director HCC Coding & Compliance position at Regal Medical Group?
The Director of HCC plans, organizes, directs and controls the activities and staff required to provide chart review, data validation, medical record organizing, scanning and ensure timely provider feedback. This position is responsible for organizing, training and directing the activity of the HCC department This position directly oversees HCC Coders and Auditors as well as oversight of chart review and special projects.
Essential Duties and Responsibilities include the following :
- Handle all provider issues and train providers.
- Train and oversee HCC Trainers.
- Special projects / audits as assigned by the CFO.
- Oversees compliance from the coders and provider feedback is submitted in timely manner
- Maintain departmental communication and processes to increase coding and data validation standards.
- Assist in developing workflow for coders / auditors.
- Perform random audits of coders, all levels, to ensure quality of the department.
- Manages NextGen coders and does the billing for all Lakeside Senior HMO encounters
- Reviews and gives feedback for RMG employed Physicians for the Senior HMO
- Participates in meetings to create, analyze, apply, interpret and / or communicate policies, procedures and regulations effectively.
- Supports company activities such as company goals / strategy and management meetings as required.
- Ensures the establishment and compliance of departmental goals and for implementing procedures and performance standards to achieve these goals.
- Leads the HR activities for the staff to include making employment decisions, recommends promotions, writes and delivers employee performance evaluations on a timely basis, conducts training, provides motivation to staff, writes and delivers counseling and discipline to employees.
- Responsible for maintaining all timekeeping activities in ADP for all staff members.
- Prepare department reports as required.
- Recommend process improvements based on tracking and trending reports.
- Implement and coordinate issue resolution processes.
- Other duties as assigned by management.
Education and / or Experience :
The pay range for this position at commencement of employment is expected to be between $120,000 annually to $140,000 annually ; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and / or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department / team performance, and market factors.
Regal Medical Group provides a comprehensive benefits package for full-time employees, emphasizing employee satisfaction and work-life balance. The package includes :
Health and Wellness
Savings and Retirement
Additional Benefits
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Salary : $120,000 - $140,000
