Director 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.

We are seeking a dynamic leader to drive operational excellence and strategic growth in our RCM function (Provider Coding). This role is pivotal in shaping high-performing teams, fostering innovation, and ensuring client success through exceptional service delivery.

Primary Responsibilities

• Stay Ahead of Change: Maintain up-to-date knowledge of coding standards, regulatory updates, and industry best practices
• Drive Operational Excellence: Own KPIs including productivity, quality, turnaround time (TAT), attendance, and attrition
• Data-Driven Decision Making: Deliver quick, logical solutions through insightful data analysis
• Lead People & Performance: Manage personnel, performance, and operational hygiene across assigned projects
• Be the Expert: Provide thought leadership and subject matter expertise in your functional area
• Client Relationship Management: Front-end client interactions, ensuring trust and long-term partnerships
• Strategic Reporting: Review and analyze periodic reports and metrics for informed decision-making
• Champion Quality: Promote and lead process improvement initiatives and compliance adherence
• Create a Winning Culture: Build an environment that fosters morale, creativity, and teamwork
• Empower Teams: Provide direction, resolve challenges, and set clear priorities
• Shape the Future: Collaborate with senior leadership on planning, implementation, and operational enhancements
• Talent Strategy: Manage attrition, build retention plans, and drive career progression for team members
• Financial Stewardship: Prepare annual business plans, operating budgets, and cost optimization strategies
• Conflict Resolution: Negotiate solutions and handle critical situations with confidence
• Coaching & Development: Deliver regular feedback and coaching to nurture high-performing teams
• Team Expansion: Support existing teams, build new talent pipelines, and ensure quality and productivity
• Global Collaboration: Partner with onshore teams to enhance performance and enable growth
• Servant Leadership: Lead with empathy, ensuring engagement and career progression for all team members
• 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 (Life Sciences preferred) with 18+ years of experience in RCM leadership
• Coding certification (AAPC/AHIMA - CPC/COC/CIC/CCS)
• Solid understanding of US Healthcare RCM and reimbursement methodologies
• Expertise in budgeting, cost estimation, and capacity planning
• Proven ability to manage large teams (250+ coders) and frontline supervisors
• Proven exceptional analytical, interpersonal, and communication skills
• Proven ability to track record of driving employee engagement and customer satisfaction
• Proven ability to influence stakeholders and lead in a fast-paced environment
  
  

• Lead Transformation: Shape the future of healthcare operations
• Impact at Scale: Drive performance for large, diverse teams
• Growth Mindset: Opportunities for innovation and strategic leadership
• Collaborative Culture: Work with global partners and senior leadership