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Senior Director, Coding and Documentation
Cano Health. Report to the CFAO and provide strategic oversight of coding, documentation, and audit/education departments .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in Medicare Advantage coding and documentation, with strong leadership capabilities to guide teams and ensure compliance with clinical requirements and company policies. Proficient in strategic oversight, analytical tools, and effective communication across all levels of leadership.
Highest-signal resume keywords
Medicare Advantage Coding/DocumentationLeadership ExperienceCPC CertificationTechnical Writing SkillsRisk Adjustment Strategy
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding GuidelinesAnalytical ToolsDocumentation AuditsKPI ReportingMedical TerminologyRevenue Cycle ManagementChart ReviewsEducation ProgramsCompliance StandardsCMS Models
Soft Skills
Professional CommunicationTeam LeadershipProblem-SolvingCollaborationAttention to Detail
Tools & Technologies
Microsoft OfficeEMR SystemsPre-Review Coding Workflow ToolIT Systems
Certifications & Qualifications
CPCCRCCPMA
Industry Keywords
Medicare AdvantagePrimary CareHealthcare ComplianceClinical RequirementsAudit Processes
About the role
Key responsibilities & impact- Report to the CFAO and provide strategic oversight of coding, documentation, and audit/education departments
- Support the owned clinic and affiliate businesses
- Lead and direct coding and documentation teams
- Collaborate with senior leadership to align functions with compliance, clinical requirements, and company policies
- Provide guidance on coding guidelines, education programs, and Medicare Advantage processes
- Drive strategic initiatives using analytical tools
- Monitor coder work quality and productivity
- Ensure physician and coder documentation audits are completed timely and effectively
- Provide corrective actions and education as needed
- Collaborate with clinical and operations leadership on annual education, disease prevalence, and preventative screening programs
- Support compliant Medicare Advantage risk adjustment strategy using CMS and HCC models
- Manage risk adjustment business processes and serve as subject matter expert on related regulations
- Support department budgeting, forecasting, goals, and initiatives
- Maintain KPIs and reporting for internal and external stakeholders
- Improve CMS revenue accuracy and completeness through prospective assessments and retrospective chart reviews
- Collaborate with contracted health plans on documentation and audit requests
- Work with Revenue Cycle Management and outsourced vendors to address coding issues
- Own the internally developed pre-review coding workflow tool and support EMR vendor coding workflow matters
- Oversee department managers/team leads for Pre-Review Coding, Coding Education, Coding Audit, and MSO Coding
Requirements
What you’ll need- 10+ years of experience in Medicare Advantage coding/documentation
- 7+ years of leadership experience
- Experience in primary care
- CPC, CRC, and/or CPMA certifications
- Required bachelor's degree
- Leadership skills to effectively direct work and support other department professionals
- Ability to communicate professionally with all levels of leadership
- Excellent written and oral communication skills
- Technical writing skills for documentation development, implementation, maintenance, and leadership presentations
- Ability to communicate and maintain the integrity of sensitive, detailed information
- Understanding of Microsoft Office, medical terminology, medical procedures, and services
- Ability to assess work and patient needs related to department practices, procedures, and computer systems
- Knowledge of the medical field and practices
- Skill in operating technology and other IT systems
- Must be able to work extended and flexible hours and weekends as needed
- Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing
- Must be able to travel/drive to medical centers in all company regions and expanding markets
Benefits
Comp & perks- Equal opportunity/affirmative action employer
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions