Program Management Lead – Offshore Coding Operations

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October 23

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CenterWell Senior Primary Care

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Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

1001 - 5000 employees

⚕️ Healthcare Insurance

📋 Description

• Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes • Optimize the effectiveness of the offshore coding (post-visit) team • Analyze the performance of the offshore coding team and create strategies to maximize associate output • Cultivate relationships with onshore and offshore coding teams including leaders • Serve as liaison and primary point of contact with the offshore (vendor) leaders • Advise coding leaders to develop functional strategies on matters of significance • Partner with analytics to develop quality assurance program on post-visit reviews • Analyze trends and share results with coding leaders/teams • Monitor quality and address performance gaps • Conduct research and interpret correct coding guidelines and internal business rules • Participate in coder education programs on coding compliance • Lead Special Projects for onshore and offshore coding teams

🎯 Requirements

• Bachelor’s degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration) • Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC • Minimum 5 years’ progressive experience in medical coding operations • Minimum of 3 years’ direct experience managing or optimizing offshore coding teams and vendor partnerships • Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations • Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows • Prior exposure to supporting mergers & acquisitions in a coding operations context preferred.

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities