Senior Product Manager- Medical Coding (m/f/d)

Das ist der Job

Description Oracle Health is building AI-powered clinical and reimbursement solutions for global healthcare markets.

Darum lohnt es sich

We are seeking a Senior German Medical Coding Specialist (Kodierfachkraft) to provide Inpatient, Outpatient, ED and Ambulatory coding inputs specific to German healthcare systems.

This individual will provide deep expertise in ICD-10-GM diagnosis coding, OPS procedure coding, G-DRG grouping for inpatient services, EBM / GOA coding for outpatient services, and the Deutsche Kodierrichtlinien (DKR) compliance to drive the development of reimbursement solutions for German Healthcare systems.

Responsibilities This is an exciting medical coding role who’d like to evolve their coding skills to AI Coding. You will serve as a liaison with product management, engineering, and data science to provide inputs into product development.

You will use your years of hands-on German hospital (inpatient) and clinics (outpatient) coding experience to support the development of AI models that use clinical documents to extract ICD-10-GM codes, OPS procedure codes, G-DRG grouping codes for inpatient services, EBM / GOA codes for outpatient services.

You will directly influence how the product understands German clinical documentation, applies coding guidelines when generating these codes. Collect, input, verify, correct, and analyze data to measure key performance indicators versus business objectives.

Qualifications: • 5+ years hands-on experience as a Kodierfachkraft or Medizincontroller in a German health delivery system • Demonstrated expertise in extracting and assigning ICD-10-GM diagnosis codes from German clinical documentation • Demonstrated expertise in extracting and assigning OPS procedure codes from German clinical documentation • Experience with EBM outpatient coding and/or GOÄ billing in addition to inpatient expertise • Thorough understanding of Hauptdiagnose determination rules and Nebendiagnose qualification criteria per current DKR • Understanding of what supporting evidence is required to justify code assignments • Multi-year experience with G-DRG grouper software and understanding of grouper logic, CCL/PCCL scoring • Experience interacting with Patientenabrechnung (billing department) and Kostenträger (payers/Krankenkassen) on coding-related billing issues • Medizinische Kodierfachkraft (IHK) or equivalent recognized certification (TÜV Rheinland Kodierfachkraft certificate or comparable industry credential) • Experience with German hospital coding and grouper software (e.g., ID DIACOS, 3M Kodierungssoftware, Kodip, DRG-Workplace, or similar) • Working knowledge of Krankenhausinformationssysteme (KIS) such as SAP i.s.h.med, Dedalus ORBIS, Agfa HealthCare, or Cerner Millennium as deployed in German hospitals • Fluent in German and English, both written and spoken.

Qualifications Career Level - IC3