Job Information

Supervisor Risk Adjustment (Remote: SW WA / OR) in Beaverton, Oregon


Providence is seeking a Supervisor: Risk Adjustment to:

  • Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices

  • Serve as the first-level supervisory position

  • Be responsible for assigning, directing, monitoring, and evaluating the work of the staff on a regular basis, as well as performing coding and abstracting duties in the division

We welcome 100% remote work for residents of SW Washington and Oregon.

In this position you will:

  • Supervise and perform a wide range of activities pertaining to the review and coding of inpatient and outpatient medical record information

  • Be Responsible to execute the business case model and subsequent annual work plans for the coding compliance and risk adjustment work

  • Work closely with Director of Risk Adjustment for the reporting of correct CMS and HHS data

  • Direct internal and external certified coders in the work of medical chart review and coding applications, including managing work distribution and flows

  • Oversee project timelines and assign work appropriately to achieve project timelines

  • Manage team workloads and coding capacity and ensure productivity standards are met and upheld

  • Initiate reviews and performance management for direct reports

  • Develop and update policies and procedures for coding compliance risk adjustment related work

  • Seek out efficiencies and facilitate the implementation of those efficiencies

  • Identify areas of non-compliance for diagnoses coding and establish appropriate education and interventions with coding team

  • Perform coding and abstraction duties

  • Participate in prospective and retrospective coding reviews

  • Oversee and participate in RADV and other regulatory audits

  • Adhere to and manage strict project timelines for retrospective reviews and RADV audits

  • Maintain the foundation of compliance for all work performed within department

  • Work with team members to understand and support professional growth goals and aspirations

  • Create professional development opportunities within the team to support Caregiver growth

Required qualifications for this position include:

  • Bachelor's Degree -OR- a combination of equivalent education and 4 years of related work experience

  • Certified in one of the following areas: CPC, CCS, RHIT, or RHIA

  • Work experience in a health care provider or health insurance environment

  • Demonstrated leadership experience in Risk Adjustment (I.E. Lead, Supervisor)

  • Experience in risk adjustment coding

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 129308
Company: Providence Jobs
Job Category: Risk
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift:
Career Track:
Address: OR Beaverton 3601 SW Murray Blvd

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.