Top 1426 Documentation manager Jobs in Oklahoma

RN Readmission Manager, Payment Integrity
Centene Corporation —Oklahoma
- $87,700 - $157,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Health insurance
11d
Automotive Finance and Insurance Manager
Jeff Lungren Chevrolet —Grove, OK
- $50,000 - $100,000 a year
- Full-time
- Dealership
- Basic math
- Mid-level
- Health insurance
- 401(k)
Quick Apply
9d
Pharmacist in Charge/Pharmacy Manager
Lakeside Pharmacy —Eufaula, OK
- $120,000 - $140,000 a year
- Full-time
- HIPAA
- Mid-level
- Team management
Quick Apply
Lead Ophthalmic Technician
Triad Eye Institute —Tulsa, OK
- From $22 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- Mid-level
- Paid training
- Health insurance
Quick Apply
Quality Assurance Manager
Precision Aviation Group (PAG) —Oklahoma City, OK
- Overtime
- Background check
- Ability to walk for extended periods
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Senior Project Manager
The Housing Partnership Network —Tulsa, OK
- $130,000 - $150,000 a year
- Full-time
- Management
- 3 years
- Finance
- Health savings account
- Paid holidays
Quick Apply
Commercial Painting Project Manager (2 Years Minimum Experience) - Bilingual is a plus
Advanced Commercial Painting —Oklahoma City, OK
- $62,000 - $120,000 a year
- 8 hour shift
- Bilingual
- Construction site
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Multi-Family Residential Property Manager
Strategic Realty Management —Durant, OK
- From $41,600 a year
- Full-time
- Microsoft Word
- Customer service
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
6d
GIS Manager
Smith Roberts Baldischwiler, LLC —Oklahoma City, OK
- $85,000 - $110,000 a year
- Full-time
- Computer Science
- 3 years
- SQL
- Health savings account
- Health insurance
Quick Apply
13d
Growth & Operations Manager (Sales, Recruiting & Operations)
Right at Home —Stillwater, OK
- $44,570.57 - $70,902.20 a year
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- High school diploma or GED
- Mileage reimbursement
- Health insurance
Quick Apply
Project Managers - Tulsa
JE Dunn —Tulsa, OK
- Email
- Background check
- Construction site
- 5 years
RN, Case Manager, Alternative Care Programs - PT Weekends
Saint Francis Hospital, Inc. —Tulsa, OK
- Part-time
- Nursing
- RN License
- Mid-level
Quick Apply
Hospice RN Case Manager
Mays Hospice Care —Tulsa, OK
- Full-time
- RN License
- Mid-level
- Driver's License
Quick Apply
PARTS SALES MANAGER
AutoZone —Weatherford, OK
- Overtime
- ASE Certification
- Spanish
- Inventory management
- Store discount
- Employee stock purchase plan
5d
Cash Management- Supervisor
SOAR Partners LLC —Tulsa, OK
- $50,000 - $70,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- CPA
- Health savings account
- Health insurance
Quick Apply
Civil Project Manager ll
Trinity Employment Specialists —Tulsa, OK
- $109,000 - $137,000 a year
- Full-time
- Construction site
- Master's degree
- Bachelor's degree
Quick Apply
Fund Operations Manager
The Housing Partnership Network —Tulsa, OK
- $85,000 - $100,000 a year
- Google Workspace
- 5 years
- Office
- Health savings account
- Paid holidays
Quick Apply
Revenue Cycle and Finance Operations Manager
Tangelo Orthodontics —Tulsa, OK
- Full-time
- Dental office
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Household Manager LPN or RN
Trinity Woods —Tulsa, OK
- RN License
- BLS Certification
- Mid-level
Quick Apply
Mortgage Manager
Fuse3 Solutions —Tulsa, OK
- $80,000 - $90,000 a year
- Office
- Residential
- Finance
Quick Apply

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RN Readmission Manager, Payment Integrity

Centene Corporation -
Oklahoma

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
11 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical claims processing software
Healthcare team management
Healthcare reimbursement methods
Healthcare coding investigations
Documentation reviews
DRG

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this position that will lead and oversee PI initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission reviews allowing CNC to ensure payment accuracy as well as alignment with internal policies and regulatory requirements. Experience Required for all RN's with Coding Credentials applying:

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.

Position Purpose:
Manages a team of auditors and clinical professionals and is accountable for audit quality, consistency, and overall program performance for potentially preventable readmissions. Oversees payer readmission review programs to ensure accurate, compliant determinations and achievement of payment integrity objectives. This role directs the identification and validation of potentially preventable readmissions while supporting appropriate reimbursement under MS-DRG and APR-DRG methodologies. Responsible for driving program results through audit oversight, trend analysis, and the development of standardized review criteria and best practices.

Lead and oversee Payment Integrity initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy, ensuring alignment with established objectives, internal policies, and regulatory requirements.
Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Monitor program performance against defined metrics, financial targets, and operational benchmarks, using trend analysis to identify risks, variances, and opportunities for improvement.
Provide leadership and operational oversight to teams performing readmission, MS-DRG, and APR-DRG reviews, ensuring accuracy, consistency, timeliness, and adherence to established review standards.
Ensure compliance with federal and state regulations, managed care organization requirements, contractual obligations, and internal policies governing Payment Integrity and audit activities.
Prepare and present reports, analyses, and performance summaries to leadership and key stakeholders, highlighting audit outcomes, trends, and actionable recommendations.
Identify process gaps, operational risks, and control weaknesses, and implement or recommend corrective actions to improve quality, efficiency, and program effectiveness.
Lead, coach, and develop team members by setting clear expectations, promoting accountability, and fostering a culture of collaboration, quality, and continuous improvement.
Serve as a subject matter expert for Payment Integrity practices within assigned scope, providing guidance on readmission review methodology, audit standards, and reimbursement considerations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree.

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.
Experience working with payer claims systems preferred.
Demonstrated experience supporting government programs, regulatory compliance, or audit activities preferred.
Project management experience preferred.
Experience partnering with external vendors supporting Payment Integrity audit, recovery, or edit programs preferred.
Inpatient hospital documentation improvement experience preferred.

Master’s degree preferred.

License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

documentation manager jobs in oklahoma

RN Readmission Manager, Payment Integrity

Automotive Finance and Insurance Manager

Pharmacist in Charge/Pharmacy Manager

Lead Ophthalmic Technician

Quality Assurance Manager

Senior Project Manager

Commercial Painting Project Manager (2 Years Minimum Experience) - Bilingual is a plus

Multi-Family Residential Property Manager

GIS Manager

Growth & Operations Manager (Sales, Recruiting & Operations)

Project Managers - Tulsa

RN, Case Manager, Alternative Care Programs - PT Weekends

Hospice RN Case Manager

PARTS SALES MANAGER

Cash Management- Supervisor

Civil Project Manager ll

Fund Operations Manager

Revenue Cycle and Finance Operations Manager

Household Manager LPN or RN

Mortgage Manager

I want to receive the latest job alert for documentation manager in oklahoma

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