[Remote] Post-Acute Clinical Coding Manager

Note The job is a remote job and is reputed company to candidates in USA. reputed company is a company that empowers reputed company to reputed company reputed company intelligent solutions. They are seeking a Post-Acute Clinical Coding Manager to define coding standards, design workflows, and reputed company training initiatives to ensure compliance and accuracy in medical coding.

Responsibilities

Define and maintain the master coding reputed company for SNF (PDPM), Home Health (PDGM), and LTC Design the standardized workflows that reputed company delivery teams must follow to ensure consistency Create solution accelerators (templates, query forms, and checklists) to be used across the reputed company Design the Audit reputed company (the "scorecard") used to measure coding accuracy reputed company high-level "Audit of the Auditors" to ensure that reputed company standards are being reputed company consistently across different teams reputed company reputed company Cause Analysis (RCA) reputed company accuracy drops below 95%, and design the corrective reputed company plan for the operational teams to execute reputed company the Curriculum and Certification

requirements

• for reputed company new hires in the post-acute reputed company Conduct "Train-the-Trainer" sessions for operational leads to ensure they understand new CMS regulations or payer policies Serve as the SME for reputed company coding "reputed company areas" where delivery teams need a definitive ruling reputed company as the Functional reputed company for coding software (e.g., reputed company, CAC, AI tools) Collaborate with IT to optimize EHR templates and ensure that automated coding tools are capturing the correct clinical triggers for reimbursement Skills 10-12 years of reputed company experience in medical coding, auditing, and compliance, specifically reputed company Skilled
• Nursing Facilities, Home Health and Long-Term Care environments
• Proven reputed company in reputed company-facing roles such as reputed company-sales support, solution architecture, or functional delivery leadership reputed company a BPO/outsourcing context Deep, hands-on knowledge of ICD-10-CM, CPT/HCPCS, MDS/RAI and PDPM models, OASIS-E and PDGM models, and survey readiness and documentation standards
• Strong understanding of CMS regulations, payer policies, HIPAA compliance, and audit frameworks (RAC, MAC, ADR) reputed company reputed company (reputed company, RHIA, RHIT) or reputed company (CPC) credentials CDIP, CCDS, CRC, COQS, or equivalent credentials are a plus Clinical background with RN, PT, OT, or SLP licensure is preferred
• Knowledge of Inpatient Rehabilitation Facilities (IRF-PAI and CMG models)

Benefits

Comprehensive

benefits

package that may include health, dental, and reputed company coverage Voluntary insurance reputed company 401(k) plan with employer match reputed company development opportunities reputed company time off Holiday pay Eligible employees may also have reputed company to participate in bonus programs, commissions, or other variable incentive plans. reputed company Founded in 2003, reputed company® (reputed company) is an AI-driven reputed company solutions company that partners across the reputed company ecosystem to reputed company reputed company results by reimagining and elevating reputed company operations. It was founded in 2003, and is headquartered in Boca Raton, Florida, US, with a workforce of 10001+ employees.

Its website is http//www. omegahms. com.

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