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Regional Coding Manager Jobs in California (NOW HIRING)

Unlimited Service Group

Regional Sales Manager

San Diego, CA · On-site

$100K - $125K/yr

  • Medical

  • Retirement

Casual dress code * Competitive benefits, including health insurance, 401(k) with company match ... across the region Customer & Relationship Management * Build and maintain executive-level ...

Unlimited Service Group

Regional Sales Manager

San Diego, CA · Remote

$100K - $125K/yr

  • Medical

  • Retirement

Regional Sales Manager Location: Western Region(multi-state oversight) Reports To: Regional Vice ... Casual dress code * Competitive benefits, including health insurance, 401(k) with company match ...

Liberty Military Housing

Regional Maintenance Manager

San Diego, CA · On-site

$69K - $89K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As the Regional Maintenance Manager, you will be charged with contributing to company strategy and ... Adhere to all Liberty Military Housing employee policies, Code of Conduct and applicable rules ...

JLL

Regional Engineering Manager

San Francisco, CA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensure compliance with all local, state, and federal regulations and codes * Develop and implement ... Manage staffing levels and resource allocation across the regional portfolio Client & Stakeholder ...

JLL

Regional Engineering Manager

Los Angeles, CA

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensure compliance with all local, state, and federal regulations and codes * Develop and implement ... Manage staffing levels and resource allocation across the regional portfolio Client & Stakeholder ...

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All JobsRegional Coding JobsRegional Coding Manager JobsRegional Coding Manager Jobs in California

Regional Coding Manager information

What is the difference between Regional Coding Manager vs Regional Coding Specialist?

AspectRegional Coding ManagerRegional Coding Specialist
CredentialsCertification in medical coding (e.g., CPC, CCS), management experienceCertification in medical coding, specialized training
Work EnvironmentOversees coding teams, manages coding operationsPerforms coding tasks, reviews medical records
Employer & Industry UsageHospitals, healthcare organizations, insurance companiesMedical clinics, healthcare providers, coding service companies

The main difference is that the Regional Coding Manager oversees coding teams and manages coding operations, while the Regional Coding Specialist focuses on performing coding tasks and ensuring accuracy. The manager role involves leadership and strategic planning, whereas the specialist role is more hands-on with coding work.

How does a regional coding manager collaborate with multiple facility teams to ensure coding accuracy and compliance?

A Regional Coding Manager frequently works with coding teams from various facilities to standardize coding practices and ensure compliance with regulatory guidelines. This often involves conducting regular audits, organizing training sessions, and facilitating communication between site-specific coders and upper management. Effective collaboration requires strong organizational skills and the ability to adapt to different workflows across locations. Managers also serve as the primary contact for resolving complex coding issues, ensuring consistent quality and accuracy throughout the region.

What skills and qualifications are needed to be a regional coding manager?

To thrive as a Regional Coding Manager, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT) and a relevant certification like CCS or CPC, coupled with experience in healthcare coding management. Familiarity with coding software, electronic health records (EHR) systems, and compliance auditing tools is typically required. Strong leadership, attention to detail, and effective communication are essential soft skills for managing coding teams across multiple locations. These skills and qualifications ensure accurate coding practices, regulatory compliance, and efficient team performance across the region.

What is a regional coding manager?

Regional Coding Managers are professionals responsible for overseeing the medical coding processes across multiple healthcare facilities within a specific geographic region. They ensure coding accuracy, compliance with regulations, and consistency in medical record documentation. Their duties often include managing coding staff, implementing training programs, auditing coding work, and collaborating with other healthcare administrators to improve coding efficiency and quality. Regional Coding Managers play a critical role in optimizing revenue cycle management and reducing billing errors in healthcare organizations.

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Regional Coding Manager jobs near you

Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Orange, CA • On-site, Remote

$70K - $85K/yr

Full-time

Posted 11 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. 
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company 
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation 
  • Meets or exceeds productivity targets as established by management. Regularly meets due dates assigned 
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing 
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. 
  • Keeps management apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success. 
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. 
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. 
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. 
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I 

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification – Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC). Certified Risk Adjustment Coder (CRC) is a plus but not required
  • 3+ years experience in risk adjustment coding and/or billing experience required 
  • Reliable transportation/Valid Driver’s License/Must be able to travel at least 75% of work time 
  • PC skills and experience using Microsoft applications such as Word, Excel, and PowerPoint
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members 
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. 
You’re great for the role if: 
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage 
  • Ability to work independently and collaborate in a team setting 
  • Strong organizational and time-management skills 
  • Ability to work in a home office for continuous periods of time for business continuity 
  • Ability to travel across the Provider Clinic service region for meetings and/or training as needed 
  • Able to work independently and within time constraints
  • Able to efficiently prioritize multiple high-priority tasks

Environmental Job Requirements and Working Conditions
  • This position blends on-site fieldwork (approximately 75% travel) with remote support to help practices. The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. Disclaimer: This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
  • The national target pay range for this role is $70,000 - $85,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. 
 
Additional Information: 
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.