The Role
Leads healthcare coding quality operations, including team performance, productivity, quality, turnaround time, compliance, audits, client communication, coaching, process improvement, and retention. Reviews operational metrics, manages personnel and budgets, supports coding and billing compliance, resolves escalated issues, and partners with senior management on operational planning. Requires extensive coding experience, team leadership, medical terminology knowledge, healthcare reimbursement expertise, and professional coding certification.
Summary Generated by Built In
Requisition Number: 2392787
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.
Primary Responsibilities:
Required Qualifications:
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.
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.
Primary Responsibilities:
- Be able to work closely with SME, Auditor and Trainer and identify training needs for outliers
- 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 all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
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
- 10+ years of coding experience with 3+ years of experience as a Team Lead
- Knowledge of medical terminology, human anatomy/ physiology, pathophysiology
- Knowledge of organizational structure, workflow, and operating procedures
- Maintain knowledge of coding and billing requirements and regulatory changes
- 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 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.
Skills Required
- Graduate or postgraduate degree in Life Sciences, Allied Medicine, or a related field, including BHMS, BAMS, BPT, dental, pharmacy, or nursing backgrounds
- Certified coder credential from AAPC or AHIMA, such as CCS, CPC, CPC-H, or CCS-P
- 10 or more years of coding experience
- 3 or more years of experience as a Team Lead
- Knowledge of medical terminology, human anatomy, physiology, and pathophysiology
- Knowledge of organizational structure, workflow, and operating procedures
- Current knowledge of coding and billing requirements and regulatory changes
- Proficiency in healthcare reimbursement methodologies
- Ability to manage and enable teams to achieve goals
- Strong analytical, interpersonal, and communication skills
- Experience with employee engagement and driving customer satisfaction
- Ability to provide effective one-on-one coaching
- Ability to monitor absences and day-to-day operations
- Ability to identify weaknesses and provide educational training to address them
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
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Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
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Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.
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The Company
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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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 and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
Typical time on-site:
Not Specified
