Health Underwriting Manager manages the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Ensures integrity of underwriting activities and processes. Being a Health Underwriting Manager participates in the development of master policies and other official documents. Verifies that the account contracts are in compliance with government regulations. Additionally, Health Underwriting Manager typically is a RN with clinical experience. Requires a bachelor's degree. Typically reports to a director. The Health Underwriting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Health Underwriting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
POSITION SUMMARY/RESPONSIBILITIES
Directly supervises the coding staff to include, Coding Specialists, Inpatient Coding Technicians I and II, Coding Telecommuters, Unbilled Clerk, and Dismissal Clerk. Maintains expert knowledge of all coding and classification systems used in health care (ICD, CPT, DRG, CMG, APC, and ASC), key information that impacts reimbursement and statistical reporting systems, and the clinical information requirements of both accreditation and licensing agencies. Responsible for conducting reviews to assess the quality of coding and documentation to ensure compliance with federal and state laws and regulations. Under the direction of the Coding Director, develops and implements policies and procedures. Plans improvements in work processes and personnel functions. Assists in the preparation of annual budget requests and monitors expenditures against allocated budget funds. Promotes the University Health’s guest relations policy.
EDUCATION/EXPERIENCE
An Associates Degree or Bachelor’s degree from an approved program for Health Information Management or related field required. Three years experience managing/supervising medical records in a multi-specialty setting preferred. Current credentials as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS, CCSP), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) required. Expert knowledge of Joint Commission standards and applicable licensure regulations are required. Expert knowledge of medical record processes and systems are required. Must possess excellent verbal and written communication skills.
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