Manager Medical Coding
3 weeks ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
Maintain knowledge of coding and billing requirements and regulatory changesKPIs include but not limited to Productivity, quality, TAT, Attendance and AttritionQuick turnaround using logical understanding of dataManages overall personnel, performance, and discipline of the assigned project(s)Provide expertise and leadership in assigned functional areaManage relationship with internal stakeholders and functionsManage all client interaction and client communication. Should front end the relationship with the clientReview and analysis of periodic reports and metricsEvaluation of operational practices and proceduresProvide support to quality initiatives targeted towards process improvementsActively involved in the internal audit support, ensuring all compliance parameters are metEstablish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamworkProvide direction to staff; ensure resolution of problems; sets prioritiesActively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)Managing attrition and building retention strategiesPreparation of annual business plans including operating budgetsNegotiating solutions, resolving conflicts and anticipating/handling critical situationsProviding regular performance feedback and giving frequent formal and informal coaching sessionsComply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do soRequired Qualifications:
Bachelor's degree or equivalent combination of educationOverall experience of 10 - 12 years, with experience in managing team of managersWorking knowledge of budgeting, cost estimating, capacity utilization principles and proceduresKnowledge of organizational structure, workflow, and operating proceduresGood understanding of US Healthcare Payer Claims & Medical codingGood understanding of medical coding function (CPT, ICD & HCPCS Codes), understanding of CMS payment policiesProficient in healthcare reimbursement methodologiesGood analytical and communication skillsSolid interpersonal and communication skillsSolid acumen towards employee engagements & driving customer satisfactionAbility to develop comprehensive planning and project managementAbility to work effectively with a wide range of stake holdersAbility to effectively handle large teams in a fast moving business environmentAbility to supervise and manage a team of frontline supervisorsAbility to manage a team of to codersAbility to effectively interface with all levels of coding and auditing personnel (internal / external) and customersAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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