Case Records Manager (Medicare/CMS)

Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform provides a practical, sustainable path for clients to achieve transformation that is true to who they are, what they do, how they work, with the resources they have. The result is a government workforce that is exponentially more creative and productive. For more information, visit www.Empower.ai.

Empower AI is proud to be recognized as a 2024 Military Friendly Employer by Viqtory, the publisher of G.I. Jobs. This designation reflects the company's commitment to hiring and supporting active-duty and veteran employees.

Empower AI: As the Case Records Manager you will be in direct communication with the project director and will provide technical assistance to the CMS Hearings and Appeals staff, as necessary. The Case Records Manager will also provide oversight and direction with the protocol necessary for timely completion of the HAS program. In assuming this position, you will be a critical contributor to meeting Empower AI's mission: To deliver innovative, cost-effective solutions and services that enable our customers to rapidly adapt to dynamic environments.

Highlights of Responsibilities:

Manages Jr. and Sr. Documentation specialists
• Manages Intake, Pre-and Post Appeal's Hearing coordination of the Medicare Geographic Classification Review Board (MGCRB) and Risk Adjustment Data Validation (RADV) projects.
• Manages Medicare Geographic Classification Review Board (MGCRB) Application Intake, Substantive Review, Withdrawals, Dismissals, Reinstatements and Appeals process.
• Manages Risk Adjustment Data Validation (RADV) Intake, Pre- and Post Appeals Hearing Coordination.
• Provides oversight of the documentation and review workflow processes.
• Monitors all stages in the production cycle
• Initiates and implements interventions necessary to address or prevent any disruptions to the workflow
• Ensures timely processing of project deliverables related to case records for MGCRB and RADV and documents workload progress for inclusion in contract deliverables.
• Coordinates intake assignments and case record QC functions
• Produces and submits required reports according to established content and time guidelines
• Ensures departmental compliance with quality management system and ISO requirements
• Develops and documents processes related to RADV in coordination with customer and Project Director expectations.
• Manages and assigns workload for system User Acceptance Testing and documents testing results.
• Determines and coordinates the education and training for the department staff
• Develops and approves departmental policies and procedures for the Case Records Management unit
• Effectively communicates with the customer, stakeholders and employees
• Performs other projects and responsibilities as assigned by the Program Director

Requirements:

• Bachelor's Degree or equivalent related experience
  A minimum of 8 years of work experience
• Minimum of 3 years records management experience
  Experience managing teams
  * Proven writing ability, communication, time management skills

Preferred Education and Experience:

• Knowledge and working experience with Medicare or CMS strongly preferred.

Physical Requirements:

This position requires the ability to perform the below essential functions:

• Sitting for long periods
• Standing for long periods
• Ambulate throughout an office
• Ambulate between several buildings

All hiring and promotion decisions at Empower AI are based on merit to bring the best talent available to contribute to our firm's overall success. It is the policy of Empower AI not to discriminate against any applicant for employment, or employee because of age, color, sex, disability, national origin, race, religion, or veteran status. Empower AI is a VEVRAA Federal Contractor.