- Define and execute enterprise risk adjustment strategy
- Lead coding operations including staffing, workflows, and training
- Establish performance metrics and reporting
- Partner with clinical and market leaders for provider education
- Collaborate with data and technology teams for automation and analytics
- Mentor and develop the coding team
- Ensure compliance with CMS regulations and coding guidelines
- Implement NLP solutions for coding efficiency
- Develop and maximize Coding Education Platform
- Establish retrospective chart review processes
ComplianceChange Management