Medical Coding Manager

hace 2 semanas


Puerto Diablo Barrio, Puerto Rico Humana A tiempo completo
Job Summary

Become a part of our caring community and help us put health first.

The Manager, Medical Coding in Payment Integrity leads a team that reviews clinical information from a variety of medical records and advises on appropriate procedural terminology and medical codes.

Key Responsibilities
  • Leads a team reviewing clinical information from medical records
  • Advises on appropriate procedural terminology and medical codes
  • Works within specific guidelines and procedures
  • Applies advanced technical knowledge to solve moderately complex problems
Requirements
  • A minimum of an Associate's Degree
  • 5 or more years of experience in medical auditing & coding with a focus on MS-DRG & APR-DRG
  • 2 or more years of management experience in a highly matrixed operational setting
  • RHIA, RHIT and/or CCS Certification
  • Experience with data analysis tools such as Power BI
Preferred Qualifications
  • 6 or more years of work experience related to claims with an understanding of claims lifecycles/healthcare revenue cycle management
  • Experience leading projects and/or processes
  • Experience in Financial Recovery

About Humana

Humana, Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.


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