01Responsibilities
Manage a team of 8 to 10 TLs with a team of about 25 each, which amounts to around 250 codersMaintain knowledge of coding, billing requirements and regulatory changesKPIs include but not limited to productivity, quality, TAT, Attendance, utilization and AttritionBe able to effectively interface with all levels of coding and auditing personnel (internal / external) and customersQuick turnaround using logical understanding of dataManages overall personnel, performance, and discipline of the assigned project(s)Provide expertise and leadership in the assigned functional areasManage relationship with all internal stakeholdersManage all client interactions and client communications. Should front end the relationship with the clientReview and analysis of periodic reports and metricsEvaluation of operational practices and proceduresProvide support to quality initiatives targeted towards process improvementsActively be involved in the internal audit support, ensuring all compliance parameters are metEstablish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamworkProvide direction to staff; ensure resolution of problems; sets prioritiesActively 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 strategiesPreparation of annual business plans including operating budgetsNegotiating solutions, resolving conflicts and anticipating/handling critical situationsProviding regular performance feedback and giving frequent formal and informal coaching sessionsComply 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 regard 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 soRequired Qualifications:
6+ years of overall experience with experience in managing teams (Experience in Healthcare operations would be preferred)Working knowledge of budgeting, cost estimating, capacity utilization principles and proceduresKnowledge of organizational structure, workflow, and operating proceduresAbility to effectively handle large teams in a fast-moving business environmentAbility to supervise and manage a team of frontline supervisors
Preferred Qualifications:
Bachelor's degree or equivalent combination of education3+ years of experience in managing HCC coding teamsGood understanding of US Healthcare Payer Claims & Medical codingGood understanding of medical coding function (CPT, ICD & HCPCS Codes), understanding of CMS payment policiesProficient in healthcare reimbursement methodologiesAbility to develop comprehensive planning and project managementAbility to work effectively with a wide range of stake holdersGood analytical and communication skillsSolid interpersonal and communication skillsSolid acumen towards employee engagements & driving customer satisfaction
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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