Coding Manager

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Lead a varied team of consultative coders.

• Ensure that clinical documentation accurately supports coding and reflects the prevalence of diseases within the community.

• Collaborate with the Divisional Coding Leader to create strategies tailored to specific markets.

• Advocate for precise clinical documentation.

• Guarantee adherence to state, federal, and internal policies and procedures.

• Encourage teamwork among onshore and offshore coding, auditing, and educational teams.

• Build strong relationships with physicians and advanced practice providers, serving as their primary contact for documentation and coding inquiries.

• Formulate consultative coding strategies that address market demands.

• Disseminate knowledge and best practices with coding and market leadership.

• Suggest strategies to enhance clinical documentation and coding processes for both pre- and post-visit coding.

• Establish connections with post-visit/offshore coding leadership.

• Initiate continuous quality improvement projects.

• Supervise special handling during mergers and acquisitions.

• Manage Problem List cleanup as per compliance guidelines.

• Ensure consistent training and reporting for the PCO process.

⛳️ Requirements

• Bachelor's Degree or equivalent experience.

• Over 6 years of technical experience, including proficiency with Microsoft Office Suite.

• A minimum of 2 years of management experience.

• CPC (Certified Professional Coder) Certification.

• RHIA, RHIT, CCS, or CPC Certification.

• Knowledge and experience with Medicare Risk Advantage.

• Must currently reside in Florida, Georgia, North Carolina, or South Carolina.

• Willingness to travel approximately 25% of the time.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• A dedicated workspace free from interruptions to protect member PHI / HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on both company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Options for home or hybrid home/office work arrangements.

• Dedicated workspace and internet requirements to facilitate remote work.

• Occasional travel to Humana offices for training or meetings.