The ideal candidate is an experienced Nurse with a background in coding and a commitment to become a certified Coder within 6 – 12 months.  Knowledge and experience with Risk Adjustment Factor coding is desired.  A broad clinical background is desired.  Case management or utilization management background is useful but not mandatory.  Experience with new program development and project management as well as successful management of a team to meet goals is essential.  Working within an insurance company or on the payer side of health care delivery, especially managed care experience is valued, but not mandatory.  Knowledge of Medicare rules and regulations is required.

·         Certified Coder, with either nursing or strong health services background.

·         Minimum 10 years experience in health services, preferably in managed care.

·         Proven project management ability.

·         Organized, self-starter, with ability to prioritize.

·         Supervisory experience.

·         Must be a team player, have strong customer-service skills, problem solving skills, computer and analytical skills, and ability to multi-task in a fast-paced environment.

·          Strong health services knowledge, Medicare and Medicare Advantage regulations, CPT and ICD-9 coding, current contract requirements, basic knowledge of computer systems.  Ability to use common Microsoft Office programs – Word, Excel, Powerpoint.