Primary Responsibilities:
- Maintain knowledge of coding and billing requirements and regulatory changes
- KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition
- Quick turnaround using logical understanding of data
- Manages overall personnel, performance, and discipline of the assigned project(s)
- Provide expertise and leadership in assigned functional area
- Manage relationship with internal stakeholders and functions
- Manage all client interaction and client communication. Should front end the relationship with the client
- Review and analysis of periodic reports and metrics
- Evaluation of operational practices and procedures
- Provide support to quality initiatives targeted towards process improvements
- Actively involved in the internal audit support, ensuring all compliance parameters are met
- Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
- Provide direction to staff; ensure resolution of problems; sets priorities
- Actively 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 strategies
- Preparation of annual business plans including operating budgets
- Negotiating solutions, resolving conflicts and anticipating/handling critical situations
- Providing regular performance feedback and giving frequent formal and informal coaching sessions
- Comply 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 so
Required Qualifications:
- Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others
- Certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P
- 8+ years of coding experience with 2+ years of experience as a Team Lead
- Knowledge of organizational structure, workflow, and operating procedures
- Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology
- Proficient in healthcare reimbursement methodologies
- Proven ability to manage and enable teams to reach their goals
- Proven good analytical and communication skills
- Proven solid interpersonal and communication skills
- Proven solid acumen towards employee engagements & driving customer satisfaction
- Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers
- Proven ability to effectively provide 1 on 1 coaching
- Proven ability to monitor absences and overall day to day operations
- Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness
At 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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What We Do
We’re the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare. We’re a global organization that’s evolving health care so everyone can have the opportunity to live their healthiest life. With our hands across all aspects of health, we'll provide you with a rewarding career that enables you to grow in the directions that best fit your passions. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.
Our global technology team consists of more than 30,000 innovators from around the world passionate about using technology to improve the lives of people and communities. We are modernizing the health care system through modern analytics, comprehensive clinical expertise, innovative technologies and extensive experience in improving operational and clinical performance.
As part of our team, you will be provided opportunities to channel your curiosity into initiative, working alongside distinguished engineers and developers pursuing innovations that improve the health care experience for everyone. We encourage you to dive in, explore and ask questions about creative ways to use technology to help make the health care system work like an actual system.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business, the responsibilities of a job, and your preference for more flexibility. These models are core on-site 5 days/week, hybrid 3 day/s week and telecommute or fully remote.
