Manager Coding Policy

at  Providence Health Plan

Oregon, Oregon, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate28 Aug, 2024USD 76 Hourly31 May, 20243 year(s) or aboveMedicaid,Training,Cms,Regulatory Requirements,Writing,Coding Experience,It,Public HealthNoNo
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Description:

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

  • Bachelor’s Degree in Business Administration, Healthcare Administration, or a closely related field of study
  • Certified Professional Coders Certificate
  • 5+ years of related experience working in or with a managed care or health care organization
  • 5+ years of Clinical Coding experience, preferable in a payer setting
  • 3+ years of experience with CMS, Medicaid and State(s) regulatory requirements and quality accreditation bodies - NCQA and/or URAC
  • 5+ years of leadership experience
  • 3+ years of experience in technical policy & procedure writing as it relates to regulatory and accreditation standards

PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

  • Master’s Degree in Healthcare Administration, Public Health, Business Administration or related field
  • Coursework/Training: Training in one or more of the following: Lean, Agile, six Sigma and Change Acceleration Process (CAP)
  • Internal auditing & monitoring principles

Responsibilities:

  • An applicant who resides in MST, CST or EST is required to commit to working a PST work schedule


REQUIREMENT SUMMARY

Min:3.0Max:5.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

IT

Trade Certificate

Certified professional coders certificate

Proficient

1

Oregon, USA