Senior Manager - Medical Coding

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 manage a team of 300 to 400 coders
• KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition
• Be able to effectively interface with all levels of coding and auditing personnel (internal / external) and customers
• Quick turnaround using logical understanding of data
• Manages overall personnel, performance, and discipline of the assigned project(s)
• Manage relationship with internal stake-holders 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
  
  

• Bachelors degree of education
• Medical coding Certified with AAPC or AHIMA
• 15+ years of experience in US healthcare with 10+ years of experience in people and process management (Experience in Healthcare operations would be preferred)
• 5+ years of experience in Payer Medical coding/ Provider Medical Coding
• Working knowledge of budgeting, cost estimating, capacity utilization principles and procedures
• 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 effectively handle large teams in a fast-moving business environment
• Proven ability to supervise and manage a team of frontline supervisors
• Proven ability to develop comprehensive planning and project management
• Proven ability to work effectively with a wide range of stake holders
• Proven good analytical and communication skills
• Proven solid interpersonal and communication skills
• Proven solid acumen towards employee engagements & driving customer satisfaction
• Proven to provide expertise and leadership in assigned functional area