At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Job Description

A bit about this role:

• The Outpatient Coder Program Manager will play a key role in overseeing the implementation and execution of outpatient coding-related audits and disputes processes for our offshore vendor. The Outpatient Coding Program Manager will also manage comprehensive training programs to ensure coding accuracy and regulatory compliance. This position is crucial to maintaining the high standards of accuracy, compliance, and efficiency necessary for outpatient coding and audit processes.

Your Responsibilities and Impact will include:

• Lead and oversee the implementation and execution of outpatient coding-related audits, disputes, and clinical cases by offshore staff

• Implement comprehensive outpatient coding training for offshore staff

• Provide ongoing training and development to ensure staff stay updated with the latest coding guidelines, payer-specific regulations, and audit best practices

• Perform quality audits on offshore team and vendors to ensure outpatient coding and disputes adhere to the highest standards of accuracy, compliance, and regulatory guidelines

• Work closely with internal and external stakeholders to resolve coding issues and ensure timely and accurate claims submission

• Oversee disputes related to outpatient coding audits; work with leadership to identify root causes of disputes and implement corrective actions to reduce the frequency of disputes

• Work with leadership to identify opportunities for program growth and expansion

• Serve as the primary point of contact for all outpatient coding program-related inquiries, including internal teams and external stakeholders
  

Required skills and experience:

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS) required

• Minimum of 5 years of experience in outpatient coding, auditing, and compliance

• Strong experience in coding audits

• Proven experience in training payment integrity coding audits

• Operational Discipline

Desired skills and experience:

• Bachelor’s Degree

• Strong leadership and training abilities

• Excellent communication and interpersonal skills to engage with internal and external stakeholders

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment

• Working with offshore vendors

Salary range: $76,000 - $120,000 annually

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.