Senior Manager, Program Integrity (CPC)

A company is looking for a Senior Manager, Program Integrity.

Key Responsibilities

Implement and optimize medical record auditing procedures for improved quality and timeliness

Oversee project plans and manage team performance, ensuring compliance with regulatory standards

Analyze coding review guidelines and maintain documentation to minimize risks of fraud and errors

Required Qualifications

Bachelor's degree or equivalent work experience is required

Minimum of five (5) years of experience in medical policy and management

Health plan experience is required

Experience with Facets and clinical editing systems is required

Certification as a Medical Coder (CPC, RHIT or RHIA) is required