Medical Coding Manager

hace 3 semanas


Puerto Diablo Barrio, Puerto Rico Humana A tiempo completo

Job Summary

The Medical Coding Manager at Humana leads a team that reviews clinical information from various medical records and advises on appropriate procedural terminology and medical codes. This role requires advanced technical knowledge to solve moderately complex problems and works within specific guidelines and procedures.

Key Responsibilities

  • Leads a team that confirms appropriate diagnosis-related group (DRG) assignments
  • Analyzes, enters, and manipulates database information
  • Responds to or clarifies internal requests for medical information
  • Collaborates with other managers across the department

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

About Humana

Humana is committed to putting health first for our teammates, customers, and company. 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.


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