Manager - SIU Coding Audit Post-Pay

4 days ago

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🌵 Arizona – Remote

Although this job is listed in Arizona, this company may be open to hiring remote in other states.

+31 more states

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🦞 Maine – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote

💵 $82.4k - $110.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Oscar

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Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

Recruitment • Search and Selection • IT Recruitment • Oil and Gas Recruitment • Contract Recruitment

51 - 200 employees

🎯 Recruitment

🏢 Enterprise

💰 $140M Private Equity Round on 2020-12

📋 Description

• Hi, we're Oscar. We're hiring a Manager, SIU Coding Audit Post-Pay to join our SIU team. • Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. • The Manager, Special Investigations Unit Coding Auditor executes on Oscar’s anti-fraud programs by meeting operational and financial targets while following legal and regulatory obligations. • By leading a team who independently audits claims, you will set and work on audit strategy while supporting and charting growth paths for direct reports’ personal development. • The Coding Audit Manager fosters engagement across all partners, and creates policies, procedures and educational documentation to support an excellent Fraud Waste and Abuse (FWA) program.

🎯 Requirements

• Bachelor’s degree and 5+ years of coding experience with at least 3+ performing auditing across multiple specialties. • Certified Professional Coder (CPC) designation or similar • 2+ years of managing direct reports • Certified Professional Medical Auditor (Bonus) • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), other coding certifications or similar • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting. • Experience with HIPAA, data privacy, and/or data security processes • Experience working with regulators governing (public or private) health insurance carriers

🏖️ Benefits

• Employee benefits • Participation in Oscar's unlimited vacation program • Annual performance bonuses • Medical, dental, and vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life and disability insurance • Paid wellness time and reimbursements