Manager Risk Adjustment Program

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Position details:

Location: Tampa, FL (Remote - Must Reside in the State of Florida)

Status: Full Time, Salaried

Shift Hours: M-F, 8:00 am - 5:00 pm

Manager Risk Adjustment Program Summary:

• Supports operational and clinical best practices around risk adjustment methodology for the population health services organization.
• Uses provider performance metrics and data to identify program/provider opportunities and gaps.
• Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions through education and in-office support to improve documentation and ICD-10 coding practices.
• Leads the development of educational materials, policies and procedures, training programs and educational tools for Risk Adjustment Program team members and other key stakeholders.
• As a resource and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
• Monitors monthly team member productivity and accuracy and provides feedback, education and coaching.
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of HCC (Hierarchical Condition Category) and ICD-10 materials.
• Supports the day-to-day operations of the risk adjustment team.
• Performs other duties as required.

Minimum Qualifications:

Required Credentials: CPC (Certified Professional Coder), CRC (Certified Rehabilitation Counselor) and CDEO (Certified Documentation Expert Outpatient)

Required Education: HS Graduate or Equivalent GED; Preferred: Bachelors Degree

Required Experience: 7 years Risk Adjustment

BayCare Values: Demonstrate a consistent commitment to BayCare Health System’s core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.

Leadership Competencies

• Communication : Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
• Emotional Intelligence : Demonstrates self-awareness and manages one’s emotions. Recognizes and responds constructively to others’ emotions and builds meaningful relationships.
• Talent and Team Development : Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
• Change Champion : Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
• Collaboration : Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
• Results Driven : Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
• Inclusion and Belonging : Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled