01Responsibilities
Maintain knowledge of coding and billing requirements and regulatory changes
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 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
Required Qualifications:
Education Background:
Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others
Certification:
Should be a certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P
10+ years of coding experience with about 3+ years of experience as a Team Lead
Knowledge of organizational structure, workflow, and operating procedures
Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology
Proficient in healthcare reimbursement methodologies
Proven good analytical and communication skills
Proven solid interpersonal and communication skills
Proven solid acumen towards employee engagements & driving customer satisfaction
Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers
Proven ability to manage and enable teams to reach their goals
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. .
