Manager, Ambulatory Coding - Remote

UnitedHealth GroupPlymouth, MN
2dRemote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Manager, Ambulatory Coding will manage and be accountable for professional employees and/or supervisors within ambulatory (professional fee) coding operations. The impact of work is primarily at the local level, with decisions influencing multiple groups of employees and internal and external customers. This role sets team direction, resolves problems, provides guidance to staff, and adapts departmental plans and priorities to address business and operational challenges. The manager influences forecasting and planning activities and ensures coding operations support compliant, accurate reimbursement and revenue cycle performance. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

  • Active CCS or CPC coding certification
  • 5+ years of ambulatory/professional fee coding experience in a multi-specialty environment
  • 3+ years of coding leadership or supervisory experience (Team Lead experience acceptable)
  • Experience with electronic health records, encoders, and/or computer-assisted coding tools (e.g., Epic, 3M, EncoderPro)

Nice To Haves

  • Experience supporting Revenue Cycle performance improvement initiatives
  • Proven solid analytical skills with the ability to interpret and present data to leadership

Responsibilities

  • Manages and is accountable for professional coding staff and/or supervisors supporting ambulatory and professional fee coding
  • Sets team direction, establishes priorities, resolves operational and personnel issues, and provides guidance and coaching to team members
  • May oversee and coordinate work activities of other coding supervisors
  • Adapts departmental plans and priorities to address business needs, operational challenges, regulatory changes, and workload demands
  • Influences and provides input into forecasting, staffing models, productivity targets, and operational planning
  • Ensures compliance with federal, state, payer, and internal coding regulations, policies, and standards
  • Acts as a subject matter resource to coding staff, physicians, billing, revenue cycle, and operational partners
  • Leads efforts to maximize reimbursement, improve coding quality, reduce charge lag, and maintain acceptable turnaround times
  • Oversees coding productivity, quality audits, pended accounts, DNFC reconciliation, and related performance metrics
  • Uses analytics, benchmarking, and reporting to identify trends, risks, and opportunities and to make data-driven business recommendations
  • Leads or supports process improvement initiatives impacting ambulatory coding workflows and revenue cycle performance
  • Coordinates and prioritizes multiple projects and initiatives, ensuring timely completion and alignment with business objectives
  • Develops, motivates, and retains a competent and well-trained coding workforce through training, coaching, and performance management
  • Completes probationary and annual performance evaluations and supports continuing education and professional development
  • Collaborates with physicians, finance, IT, billing, and leadership to support operational goals and customer service excellence
  • Product, service, and process decisions may impact multiple groups of employees and internal and external customers
  • Solid leadership, communication, problem-solving, and decision-making skills

Benefits

  • 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).
  • No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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