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Vice President Hcc Risk Adjustment Coder Jobs in Missouri

The Regional Vice President will be a critical part of expanding Varsity Tutors' K-12 institutional ... coding, tutor chat, essay review, and adaptive self-study. Nerdy's flagship business, Varsity ...

VP Global Legal Affairs CI

California, MO · On-site

$263 - $335/hr

The role is responsible for leading all legal, compliance, ethics, governance and risk management activities globally in partnership with regional counsel. The VP, Global Legal Affairs CI provides ...

The Vice President & Treasurer is responsible for leading the organization's treasury function ... Risk Management * Develop and oversee policies related to interest rate, foreign exchange ...

VP & Treasurer

Saint Louis, MO · On-site

$180 - $260/hr

The Vice President & Treasurer is responsible for leading the organization's treasury function ... Manage hedging programs and risk mitigation strategies. * Oversee enterprise-wide insurance ...

The Vice President (VP) is responsible for the overall leadership, strategy, financial performance ... Manage operational and financial risk through disciplined processes and controls Qualifications ...

Drive the enterprise strategy for pipeline-as-code workflows, build runner/agent architectures, and ... Drive secure-by-default platform capabilities that proactively reduce risk and improve developer ...

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Vice President Hcc Risk Adjustment Coder information

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Missouri?

The most popular types of Hcc Risk Adjustment Coder jobs in Missouri are:

What are popular job titles related to Vice President Hcc Risk Adjustment Coder jobs in Missouri?

For Vice President Hcc Risk Adjustment Coder jobs in Missouri, the most frequently searched job titles are:

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The top searched job categories for Vice President Hcc Risk Adjustment Coder jobs in Missouri are:

What cities in Missouri are hiring for Vice President Hcc Risk Adjustment Coder jobs?

Cities in Missouri with the most Vice President Hcc Risk Adjustment Coder job openings:

Assistant Vice President and Deputy Risk Officer

Federal Reserve Bank of Richmond

Saint Louis, MO

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

CompanyFederal Reserve Bank of St. LouisThe Assistant Vice President and Deputy Risk Officer is responsible for identifying, evaluating, and mitigating risks for the organization. This role provides strategic oversight of the Bank's risk management frameworks, continuity planning, and crisis preparedness. The role will provide oversight of the following risk functions: Enterprise Risk Management, Business Continuity, Privacy, COSO, and Data Governance. It requires strong knowledge of Bank and System operations, the ability to integrate risk and resiliency perspectives, and the leadership skills to guide a blended team of enterprise risk management, information risk management and continuity professionals. This position builds and maintains effective relationships with senior leaders, business area management, System partners, and external stakeholders to advance readiness, enhance risk awareness, and drive continuous improvement. This leader reports to the Vice President and Chief Risk Officer.

Responsibilities

Lead the Bank's Risk Programs (ERM, BC, Privacy, COSO)

  • Leads the Bank's Enterprise risk management activities including Board level reporting, business area risk profiles, risk event reporting, and development of Bank-wide risk documents.
  • Leads the Bank's Business Continuity function to ensure the Bank maintains a strong resilience stance across preparation, documentation, testing and exercising resilience plans.
  • Leads the Bank's Privacy program to ensure effective compliance while reinforcing a culture of privacy.
  • Leads the Bank's COSO program to ensure management is meeting Internal Control over Financial Reporting requirements.
  • Supports the Senior Leadership Committee in meeting its management risk oversight responsibilities, including preparation of meeting content, presentations, and related risk documents.
  • Prepare risk documents as needed for the Bank's Executive and Senior Leadership Committees, the Bank's Board of Directors, and the Board of Governors.
  • Represent the Bank on System risk groups and provide input on System-level risk reporting and practices.
  • Build strong working relationships with Bank management to provide guidance and insight into the Bank's risk posture.
  • Provide subject matter expertise on best practices, industry trends, and emerging risks.

Oversee and enhance the District's Business Continuity Program

  • Provide leadership for all BC program components including the Business Impact Analysis (BIA), business area BC plans, Crisis Management Team (CMT) Plan, Crisis Communication Plan, and annual readiness documentation.
  • Ensure resiliency by directing exercises, rehearsals, and tests (District, System-level, buddy banks, product offices, National IT).
  • Maintain and administer BC tools and applications (OnSolve's Automated Notification System, Contingency Information Anywhere, BC Dashboard, Fusion, Microsoft Teams sites, SharePoint, Government Emergency Telecommunications Service, Wireless Priority Service).
  • Lead continuity training initiatives including New Employee Orientation, liaison/contributor sessions, and specialized training (law enforcement, emergency recovery location, Employee Safety Program (ESP)).
  • Partner with Facilities, Law Enforcement, and district management on ESP components and communications.
  • Represent the Bank on System BC groups, provide input on System-level risk reporting and practices, and work with the System's Resilience Central and Subcommittee on BC teams.
  • Provide subject matter expertise on best practices, industry trends, and emerging BC risks.

Risk Leadership

  • Drive strategic leadership across the risk teams.
  • Own the performance management cycle for reports.
  • Ensure effective cross-training across key RMC functions (ERM, COSO, BC, Privacy,).
  • Cultivate strong working partnerships within St. Louis and across the System.
  • Create and deliver presentations for internal and external audiences on risk, resilience, and preparedness including training and awareness presentations
  • Lead BC communications, SL8 articles, awareness campaigns, and district-wide preparedness initiatives.
  • Maintain expertise in all risk disciplines including ERM and BC industry practices, System standards, and emerging trends.
  • Pursue relevant certifications and participate in System workgroups.

Qualifications

  • B.A., B.S., or other baccalaureate/undergraduate degree in Accounting, Business, Information Systems or related field or commensurate experience
  • Minimum 10+ years of relevant experience in risk management, business continuity, audit, or related field
  • 5+ years of supervisory experience in a relevant environment
  • Strong understanding of risks, controls, operational processes, and resiliency practices
  • Excellent communication, facilitation, and relationship-building skills
  • Certifications such as CCSA, CRMP, CMA, CPA, CIA, or BCP-related credentials
  • Foundational understanding of internal controls, risk assessment, or auditing methodologies
  • Strong attention to detail and ability to follow structured processes
  • Ability to manage multiple priorities with guidance
  • Strong organizational and documentation skills
  • Proficiency with Microsoft Office applications; experience with GRC or Privacy tools is a plus
  • Position requires US Citizen

Total Rewards

Bring your passion and expertise, and we'll provide the opportunities to challenge you and propel your growth-along with multiple benefits and perks that support your health, wealth, and life.

In addition to competitive compensation, we offer a comprehensive benefits package all brought together in a flexible work environment where you can find balance:

  • Medical (4 options), Prescription, Dental (3 options), and Vision Insurance with no waiting period
  • 401k/Thrift Plan with generous employer match
  • Employer-funded Pension Plan
  • Paid Vacation/Sick Time and Holidays
  • Flexible Spending Accounts and Healthcare Spending Accounts
  • Life Insurance and Long Term Disability Insurance
  • Tuition Reimbursement (undergraduate and graduate)
  • Parental Leave
  • Free onsite 24/7 Fitness Center including training classes, and locker room / shower facilities
  • Onsite Cafeteria and Coffee Shop
  • Additional Convenience Benefits, Discounts and More...

At the Federal Reserve Bank of St. Louis, we are committed to a strong and resilient economy for all. We prioritize inclusion and strive to be a workplace where all employees can thrive. Learn more about Bank'sculture.

The Federal Reserve Bank of St Louis is an Equal Opportunity Employer. #LI-Onsite

Full Time / Part TimeFull timeRegular / TemporaryRegularJob Exempt (Yes / No)YesJob CategoryWork ShiftFirst (United States of America)

The Federal Reserve Banks are committed to equal employment opportunity for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.

Always verify and apply to jobs on Federal Reserve System Careers (https://rb.wd5.myworkdayjobs.com/FRS) or through verified Federal Reserve Bank social media channels.

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