Cohere Health
Senior Manager Auditing
United States
Role brief
What this role is asking for.
Opportunity Overview: We are seeking a Senior Manager to lead our auditing team, and provide quality control functions, ensuring operational objectives and quality metrics are met or exceeded. You will leverage your deep auditing expertise and leadership skills to inspire a high-performing team and contribute to delivering innovative, AI-powered software solutions that drive transparency and accuracy in healthcare payment services. This is a pivotal role that offers the ability to make a substantive mark on the company's growth and its commitment to resolving payment issues at the root. What you’ll do: Lead and Manage the DRG, Professional and Outpatient audit team. Provide and coordinate onboarding and training to support the employee and programs. Complete audits and quality reviews as needed, ensuring compliance with coding guidelines and client requirements. Complete provider dispute audits. Provide quality and quantity reporting for the auditing team's performance to meet operational objectives. Engage in hiring and training activities, including conducting auditor interviews and providing ongoing internal team education and support. Engage with internal teams to understand and meet performance expectations of clients. May engage with clients. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and health payment policy
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