Medical Coding Manager (Risk Management)

Coding Manager - Risk Management

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 23 locations and 90+ medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.

Job Description:

• Manage and supervise a team of risk adjustment coders, providing guidance, mentorship, and performance evaluations.
• Oversee coding processes to ensure accuracy, compliance, and alignment with CMS and regulatory guidelines.
• Implement quality assurance programs to monitor and improve coding accuracy and documentation practices.
• Collaborate with providers and care teams to identify documentation improvement opportunities and support education initiatives.
• Analyze coding and risk adjustment data to identify trends, gaps, and opportunities for optimizing value-based care performance.
• Lead process improvement initiatives to enhance efficiency, productivity, and compliance in coding operations.
• Stay current with ICD-10-CM codes, CMS regulations, and industry best practices to ensure organizational compliance.
• Prepare reports on coding accuracy, productivity, and risk adjustment performance for leadership and stakeholders.

Requirements:

• Minimum of 3 years of experience in risk adjustment coding, with at least 1 year in a leadership or supervisory role.
• Active coding certification through AAPC or AHIMA (e.g., CPC, CRC).
• Proven expertise in ICD-10-CM coding, CMS documentation requirements, and value-based care principles.
• Strong leadership and team management skills, including mentoring and performance management.
• Bachelor's degree in a related field (preferred) or equivalent experience.
• Proficiency in Microsoft Outlook, Word, and Excel, with experience in EHR and coding platforms.
• Excellent analytical, written, and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment while maintaining high levels of accuracy and productivity.

Professional Development:

• Leadership Opportunities: Take charge of a team and make a significant impact on organizational outcomes.
• Career Development: Enjoy growth opportunities in a dynamic, expanding organization.

Community Overview:

Engaging Culture: Participate in team events, happy hours, and holiday celebrations. Comprehensive Benefits: Medical, vision, dental, 401(k), and paid holidays. Supportive Environment: Work with a collaborative and forward-thinking leadership team.