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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

This role is supporting our Oklahoma market for SSM Health. Read more about SSM Health and Optum’s partnership: SSM Health and Optum Launch Innovative Collaboration to Make Quality Care More Accessible and Affordable.

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides direction for the assigned coding and charge capture regional team. Manages and mentors supervisors and provides guidance, as necessary and appropriate, to ensure their success
• Identifies staff needs and removes barriers to ensure staff are able to meet the quality, productivity, and performance expectations set for them. Identifies and prevents backlogs and other impediments to charge capture. Ensures training programs are sufficient to support staff and facilitate effective performance
• Participates in setting strategy/approach regarding coding structure and developing department goals, objectives and tactical plans consistent with the organizational strategic plan and vision. Assesses issues and develops and implement solutions. Uses judgment to determine issues requiring escalation and guidance
• Ensures all staff are meeting productivity and quality goals. Evaluates staff quality assurance (QA) audit results and works collaboratively with the system director and coding educators to identify and/or design instructional resources to improve performance
• In conjunction with system director, evaluates electronic health record system build to ensure comprehensive edits are implemented, or recommend ancillary systems/tools, if appropriate, to ensure optimal charge scrubbing/clean claims submission
• Conducts denial root cause analysis with team to identify opportunities for error reduction, including additional system edits, provider education, clinic management feedback, etc.
• Ensures physician feedback is regularly provided and that coding support is made available to providers at their work location
• as necessary. Coordinates the review and monitoring of physician templates with information technology and coding teams to assist physicians with correct coding and, where possible, streamline their work
• Maintains an understanding of governmental regulatory changes within the industry, local markets, etc. that may require updates, modifications, or changes to coding and charge capture policies, procedures, set-up, or processes to ensure
• compliance with these regulations. Collaborates with corporate responsibility to ensure compliance with all federal and state regulations
• Fosters and maintains professional and effective relationships with regional operational and financial leaders. Coordinates and communicates key issues, charge status, or other information, as necessary and appropriate
• Serves as subject matter expert for evaluation and management and procedural coding in assigned areas. Interacts regularly with coders, physicians, and other health care practitioners to ensure common understanding of coding and documentation guidelines/principles, as well as government and commercial payer rules and regulations
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor's Degree or 5+ years of equivalent experience
• CPC, CCS or coding certification
• 5+ years of working in an outpatient professional coding role
• 3+ years of experience in a people leader role
  

Preferred Qualifications:

• Encoder Pro experience
• EPIC experience
• Experience managing remote employees
  

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.




Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.