Lead – Revenue Cycle Management
Remote
Posted on 7/19/2023
INACTIVE
Aledade

1,001-5,000 employees

Empowers primary care practices with value-based solutions
Company Overview
Aledade, Inc. stands out as a leading network of independent primary care, offering robust support to practices through its unique model that combines advanced data analytics, user-friendly workflows, and health care policy expertise. The company's commitment to the success of independent practices is demonstrated through its strong payer relationships and integrated care solutions, which enable physicians to thrive financially while focusing on patient health. With over 1,500 practices across 45 states and the District of Columbia, Aledade's shared risk and reward model, managing over 2 million patient lives, showcases its industry leadership and its significant role in the evolving healthcare landscape.
AI & Machine Learning
Data & Analytics

Company Stage

Series F

Total Funding

$657.6M

Founded

2014

Headquarters

Bethesda, Maryland

Growth & Insights
Headcount

6 month growth

2%

1 year growth

16%

2 year growth

87%
Locations
Atlanta, GA, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Communications
Management
Data Analysis
Requirements
  • Bachelor's degree in business, finance, economics, health policy, or other related field or equivalent work experience required
  • Current certification as a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) required
  • 5+ years of relevant work experience with proven track record of designing and building healthcare revenue cycle management solution products and workflows
  • Risk adjustment documentation and coding expertise
  • Demonstrated knowledge of CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
  • Highly organized and proactive in raising questions around clarity, prioritization, blockers, and other points to drive assigned tasks forward
  • Strong leadership skills
  • Excellent written and verbal communication skills
  • Demonstrated ability to manage without explicit authority
  • Demonstrated ability to consult primary care providers and practice stakeholders
  • Excellent understanding of coding guidelines
  • Understanding of fee-for-service and value-based contract principles
  • Excellent critical thinking, organizational, and time management skills
  • Comfortable tackling ambiguous problems with a high level of autonomy
  • Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement and the impact on fee-for-service contracts, and the impact of diagnosis documentation on risk adjustment payment models
Responsibilities
  • Implement solutions that support Aledade partner practices in billing and coding activities
  • Execute go-to-market tests for new offerings
  • Lead cross-functional operations to drive improved outcomes
  • Manage relationships with Aledade partner practices
  • Use data to identify practices that could benefit from Aledade services
  • Partner with practices to understand billing and coding workflows and identify opportunities for process improvement
  • Engage with physicians and practice staff on recommendations that improve business functions, accurately document visits, and allow for high-quality patient care
  • Serve as an ongoing resource for Aledade partner practices on billing and coding
  • Partner with business intelligence and impact analytics teams on data insights needed to validate business case inputs and to monitor outcomes
  • Develop and/or contribute to financial models to evaluate future revenue and costs associated with RCM liaison services, under the direction of New Ventures leadership
  • Manage & lead billing and coding related projects, including tracking key metrics across initiatives and driving cross-functional team collaboration
  • Identify trends across practices and provide feedback on the best course of action to improve billing and coding practices