Provides senior level support for coding activities. Responsible for monitoring adherence to Molina ... directors. Coordinates CMS data validation activities, including record selection, tracking and ...
New
Provides senior level support for coding activities. Responsible for monitoring adherence to Molina ... directors. Coordinates CMS data validation activities, including record selection, tracking and ...
New
Provides senior level support for coding activities. Responsible for monitoring adherence to Molina ... directors. Coordinates CMS data validation activities, including record selection, tracking and ...
New
Long Beach, CA · On-site +1
$49K - $107K/yr
... directors. • Coordinates CMS data validation activities, including record selection, tracking and submission, in conjunction with coding leadership. • Maintains professional and technical coding ...
New
Long Beach, CA · On-site +1
$49K - $107K/yr
... directors. • Coordinates CMS data validation activities, including record selection, tracking and submission, in conjunction with coding leadership. • Maintains professional and technical coding ...
New
Encino, CA · On-site
$19.75 - $25.25/hr
... as directed by the Supervisor Clinical / Coding Payment Resolution. * Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
New
Encino, CA · On-site
$19.75 - $25.25/hr
... as directed by the Supervisor Clinical / Coding Payment Resolution. * Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
New
Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred. * Requires advanced proficiency in ICD-10-CM ...
Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred. * Requires advanced proficiency in ICD-10-CM ...
Oakland, CA · On-site
$111K - $167K/yr
Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred. * Requires advanced proficiency in ICD-10-CM ...
Oakland, CA · On-site
$111K - $167K/yr
Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred. * Requires advanced proficiency in ICD-10-CM ...
Dolby in San Francisco is seeking a Sr. Member Research Staff to lead innovations in video coding standards. This role combines advanced technology development with strategic leadership in global ...
Dolby in San Francisco is seeking a Sr. Member Research Staff to lead innovations in video coding standards. This role combines advanced technology development with strategic leadership in global ...
Orange, CA · On-site
In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will ...
Orange, CA · On-site
In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will ...
Director, Permitting & Code Enforcement (Administrator II) Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal, Full Time, On ...
Director, Permitting & Code Enforcement (Administrator II) Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal, Full Time, On ...
Director, Permitting & Code Enforcement (Administrator II) Apply Now Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal ...
Director, Permitting & Code Enforcement (Administrator II) Apply Now Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal ...
Director, Permitting & Code Enforcement (Administrator II) Apply now Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal ...
Director, Permitting & Code Enforcement (Administrator II) Apply now Job no: 557284 Work type: Management (MPP) Location: San Diego Categories: MPP, Administrative, At-Will, Compliance/Legal ...
... Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to ...
... Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to ...
La Puente, CA · On-site
$20 - $22/hr
Code Ninjas is the nation's fastest-growing kids coding franchise. In our center, kids ages 7-14 ... We are looking for a Assistant Center Director to join our team of dynamic, energetic, forward ...
La Puente, CA · On-site
$20 - $22/hr
Code Ninjas is the nation's fastest-growing kids coding franchise. In our center, kids ages 7-14 ... We are looking for a Assistant Center Director to join our team of dynamic, energetic, forward ...
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
Quick apply
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
As the leader in AI code verification and governance, we solve a critical problem: ensuring that ... You'll own the team's revenue outcomes end-to-end, while also carrying direct deal responsibility ...
Ladera Ranch, CA · On-site
$55K/yr
Code Ninjas is the nation's fastest-growing kids coding franchise. In our center, kids ages 5-14 ... We are looking for a Assitant Center Director to join our team of dynamic, energetic, forward ...
Ladera Ranch, CA · On-site
$55K/yr
Code Ninjas is the nation's fastest-growing kids coding franchise. In our center, kids ages 5-14 ... We are looking for a Assitant Center Director to join our team of dynamic, energetic, forward ...
... Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to ...
... Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to ...
Position Summary Harness is looking for a Principal / Director of Product Management to lead our ... As software development evolves through AI-assisted coding, autonomous workflows, and agentic ...
Position Summary Harness is looking for a Principal / Director of Product Management to lead our ... As software development evolves through AI-assisted coding, autonomous workflows, and agentic ...
Position Summary Harness is looking for a Principal / Director of Product Management to lead our ... As software development evolves through AI-assisted coding, autonomous workflows, and agentic ...
Position Summary Harness is looking for a Principal / Director of Product Management to lead our ... As software development evolves through AI-assisted coding, autonomous workflows, and agentic ...
Santa Ana, CA · On-site
$25 - $31/hr
Final Inspector Company Job Code: Dir-Inspection-Shop FLSA Status: Non-Exempt Division/Department Quality Occupation Code Reports to: Inspection Manager Approval Signature: Last Revision Date: 7/16 ...
Quick apply
Santa Ana, CA · On-site
$25 - $31/hr
Final Inspector Company Job Code: Dir-Inspection-Shop FLSA Status: Non-Exempt Division/Department Quality Occupation Code Reports to: Inspection Manager Approval Signature: Last Revision Date: 7/16 ...
$20.73 is the 25th percentile. Wages below this are outliers.
$17.79 - $22.65
41% of jobs
$22.65 - $27.50
2% of jobs
$27.50 - $32.35
0% of jobs
The median wage is $33.85 / hr.
$32.35 - $37.20
22% of jobs
$37.20 - $42.06
0% of jobs
$42.06 - $46.91
0% of jobs
$46.91 - $51.76
7% of jobs
$53.67 is the 75th percentile. Wages above this are outliers.
$51.76 - $56.61
7% of jobs
$56.61 - $61.47
7% of jobs
$61.47 - $66.32
0% of jobs
$66.32 - $71.17
13% of jobs
$17
$40
$71
| Aspect | Coding Director | Software Development Manager |
|---|---|---|
| Required Credentials | Bachelor's or higher in Computer Science; extensive coding experience | Bachelor's or higher in Computer Science or related field; leadership experience |
| Work Environment | Oversees coding teams, involved in technical decision-making | Manages development teams, focuses on project delivery and team coordination |
| Employer & Industry Usage | Used in tech companies with a focus on coding leadership | Common in software firms managing development projects |
| Search & Comparison Intent | People comparing coding-focused roles with managerial roles | Individuals seeking leadership roles in software development |
The Coding Director primarily focuses on overseeing coding teams and making technical decisions, requiring extensive coding experience and technical credentials. In contrast, a Software Development Manager manages development projects and teams, emphasizing leadership and project management skills. Both roles are vital in tech companies but differ in their core responsibilities and focus areas.
In the medical industry, a coding director oversees the review process or audit of medical records and ensures compliance. They assign duties related to clinical coding policies and are ultimately responsible for ensuring that the department and institution as a whole comply with all regulations and laws regarding coding and information validation. Academic qualifications for a coding director include a bachelor’s degree as well as training or experience in medical terminology and compliance. Professional certification is typically required.

Full-time
Posted 5 days ago
New
8.1
Based on 193 frontline employees who took The Breakroom Quiz
134th of 281 rated insurance
JOB DESCRIPTION
Provides senior level support for coding activities. Responsible for monitoring adherence to Molina's compliance program, minimizing risks related to coding and billing practices, and protecting the business from liability related to fraudulent/abusive practices. Performs chart reviews, facilitates physician education, and maintains comprehensive knowledge of coding rules and regulations.
Essential Job Duties
Provides senior level coding expertise and administrative technical oversight to ensure successful integration of departmental initiatives.
Performs ongoing chart reviews and abstracts diagnoses codes in alignment with the Hierarchical Condition Categories (HCC) model.
Leverages understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted appropriately.
Documents results/findings from chart reviews, and provides feedback to leadership, providers, and office staff.
Creates necessary tools (educational materials, newsletters, etc.) for providers to support risk adjustment.
Provides training and education to network of providers on risk adjustment best practices and provides coding updates related to risk adjustment.
Monitors progress of providers to ensure guidelines set forth by Centers for Medicare and Medicaid Services (CMS) are adhered to.
Builds positive relationships between providers, and provides coding assistance as needed.
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.
Collaborates with cross-functional teams to support a variety of projects such as implementation of risk adjustment applications, development of reports, etc.
Coordinates related activities with departments including finance, revenue analytics, claims, encounters, and medical directors.
Coordinates CMS data validation activities, including record selection, tracking and submission, in conjunction with coding leadership.
Maintains professional and technical coding-related knowledge.
Job Requirements
At least 4 years of medical coding, auditing, and/or compliance experience, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
Detail-oriented; skilled in medical/clinical documentation review.
Ability to collaborate in a cross-functional highly matrixed organization.
Proven experience partnering with business leaders on training design and execution, instructional design, adult learning theory and deploying training through innovative solutions, and ability to strategically approach development and implementation of clinical education across the enterprise.
Effective verbal and written communication skills, including ability to present to medical professionals.
Microsoft Office suite and applicable software program(s) proficiency.
Preferred Qualifications
Familiar with the Hierarchical Condition Categories (HCC) risk adjustment model.
Background in supporting risk adjustment management activities and clinical informatics.
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980