Acute coding manager

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Under the general guidance of the Sr. Director Coding Operations, the Coding Manager is responsible for the operational activities within Optum’s Coding division. This includes oversight of the day-to-day operations for assigned coding teams including Inpatient, Emergency, Observation, Day Surgery coding for multiple clients in accordance with accepted industry standards, best practices, and within established client guidelines.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Responsible for DNFC, coding quality, and ensuring key performance indicators (KPI) and service level agreements (SLA) are consistently met
• Develop plans to meet targets when outside of expectations
• Client-facing, and required to speak in groups and/or with C-Suite level executives on a daily basis
• Works collaboratively with the client to ensure the success of both Optum and client needs
• Create and/or update medical coding standard operating procedures (SOP)
• Work collaboratively with various departments to ensure coding deliverables are achieved in a timely manner
• Ensure coding technology is working properly, and involve technical support if interruptions exist
• Determine/communicate coding process improvements as appropriate/approved to the team and ensure implementation
• Manages and is accountable for employees and/or supervisors
• Sets team direction, resolves problems and provides guidance to members of responsible team
• Influences or provides input to forecasting and planning activities
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Understand federal coding register and ensure guidelines are used and followed appropriately
• Understanding of appeal process with knowledge how to speak to denial and/or appeals
• Provide documentation feedback to providers and query physicians when appropriate
• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by CMS
• Participate in coding department meetings and educational events
• Solid knowledge of DRG coding, CPT Coding, and how to obtain education information
• Other duties at the discretion of Coding leadership

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 5+ years coding management experience in a large multi-specialty hospital or equivalent health related organization.
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT) to be maintained annually
• Proficiency with MS Office
• Proficiency with Electronic Medical Record Systems and Computer Assisted Coding
• Must be able to work with multiple levels of leadership including C-suite
• Demonstrated ability to provide presentations
• Must be able/willing to work Pacific Time Zone business hours regardless of remote-based working location

Preferred Qualifications:

• Experience working as a consultant and/or with coding vendors
• Demonstrated ability to manage competing priorities
• Proven communication, organizational, analytical and critical thinking skills
• Demonstrated ability to establish positive working relationships, effectively manage competing priorities, and accurately complete highly detailed work
• Ability to work with global and domestic staff including vendors

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.