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Manager, SIU Coding Audit Post-Pay - Remote

Posted 6 weeks ago
All others
Full Time
USA
$82,240 - $110,565/year

Overview

The Manager, SIU Coding Audit Post-Pay at Oscar leads a team focused on executing anti-fraud programs, ensuring compliance, and enhancing operational efficiency within the healthcare insurance sector.

In Short

  • Lead a Coding Audit team for medical records and claims.
  • Set performance metrics and monitor team productivity.
  • Enhance operational processes for efficiency.
  • Conduct quality reviews of coder effectiveness.
  • Document findings for clarity and compliance.
  • Communicate audit results to providers.
  • Ensure compliance with laws and regulations.
  • Manage direct reports and support their growth.
  • Participate in strategic meetings and discussions.
  • Other duties as assigned.

Requirements

  • Bachelor’s degree and 5+ years of coding experience.
  • 3+ years of auditing experience across specialties.
  • Certified Professional Coder (CPC) designation.
  • 2+ years of management experience.

Benefits

  • Unlimited vacation program.
  • Annual performance bonuses.
  • Comprehensive medical, dental, and vision benefits.
  • 401(k) plan participation.
  • Paid parental leave.
  • Paid sick time and holidays.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

O.H

Oscar Health

Oscar Health is a pioneering health insurance company founded in 2012, designed around a comprehensive technology platform with a strong emphasis on member service. The company aims to create a health insurance experience that feels personal and supportive, akin to having a family doctor. Oscar Health is committed to innovation in healthcare, fostering a culture that values diversity and inclusion, and ensuring compliance with health insurance regulations. With a flexible work environment, Oscar offers opportunities for remote work while maintaining a connection to its mission and team.

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