Navigant Consulting Inc HCC Coding Operations Manager- Navigant- Remote Location in MITCHELL, South Dakota

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Health Information HCC Coding Operations Manager shall report directly to the Director of Coding Operations and will be responsible for managing client projects to ensure quality and productions standards are met. The Coding Operations Manager will work as the liaison between Coders and the client to ensure work functions are carried out according to the project contract. This position will perform any and all related job duties as assigned.

  • Ability to analyze data and report on results

  • High level of productivity

  • Ability to work independently

  • HIPAA compliant work stations

  • Management of all HCC coding/auditing projects.

  • Management of Physician coding/auditing projects.

  • Create and deliver Education to Providers, Practice administrators and Client coding staff as needed.

  • Provides training to HCC Coders on assigned facility, including facility specific coding/abstracting guidelines.

  • Develops and maintains Client Policies and Procedures specific to the project.

  • Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.

  • Abide by all client policies and procedures.

  • Abide by all Navigant Cymetrix policies and procedures.

  • Must be hold one of the following credentials: CPC, COC, CRC, CDEO, CCS-P, CPMA.

  • Must have minimum three years of coding management experience.

  • 3-5 years leading or supervising employees.

  • 1-3 years Project Management experience.

  • Minimum 3 years HCC coding and/or HCC coding management.

  • 3-5 years ICD-10 coding experience.

  • Maintains professional credentials at all times.

  • Preferred: Auditing and/or OP CDI experience.

  • Experience working Physician Coding Denials.

  • Computer Literacy.

  • Excellent verbal and written Communication Skills.

  • Knowledge of CMS, Medicaid and other Risk Adjustment Models.

  • Strong knowledge and application of Government and other payer guidelines as they relate to compliant coding.

  • Strong working knowledge of Protected Health Information.

  • Management Skills.

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.