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Manager - Medical Coding @ Optum

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 Manager - Medical Coding

Job Description

Primary Responsibilities:

  • Be able to maintain knowledge of coding and regulatory changes
  • KPIs to include but not limited to Productivity, quality, TAT, Attendance and Attrition
  • Quick turnaround using logical understanding of data
  • Manages overall personnel, performance, and operation hygiene across all assigned project(s)
  • Provide expertise and leadership in assigned functional area
  • Manage relationship with internal and external 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
  • Promotes, leads and supports 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
  • Provide support to existing team, build new team of freshers, manage quality and productivity
  • Work with onshore partners to improve team performance and ensure team growth
  • Manage career progression of team and have an attitude of servant leadership
  • Ensure team engagement and manage attrition

Required Qualifications:

  • Bachelor's degree, preferably in life sciences
  • Coding Certification from AAPC or AHIMA (CIC/CCS)
  • 12+ years of experience in Provider Coding - IP DRG
  • Knowledge of budgeting, cost estimating, capacity utilization principles and procedures
  • Knowledge of organizational structure, workflow, and operating procedures
  • Good understanding of US Healthcare RCM with focus on Medical Coding
  • Proficiency in IP DRG training, development of curriculum and continuous education of team with high performance outcome
  • Proficient in healthcare reimbursement methodologies
  • Proven good analytical skills
  • Proven good interpersonal and communication skills
  • Proven acumen towards employee engagements & driving customer satisfaction
  • Proven ability to develop comprehensive planning and project management
  • Proven ability to work effectively with a wide range of stakeholders
  • 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 manage a team of 50 to 100 coders
  • Proven ability to effectively interface with all levels of coding and auditing personnel (internal / external) and customers

Preferred Qualifications:

  • Experience in establishing IP coding teams with end-to-end in employee lifecycle
  • Experience in team management at Optum.

Job Classification

Industry: Retail
Functional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: Medical Record / Health Informatics
Employement Type: Freshers

Contact Details:

Company: Optum
Location(s): Chennai

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Keyskills:   ip drg drg team management medical coding cic hipaa us healthcare icd sap crm billing ccs cpc medical billing life sciences rcm ed pcs cpt ip hcpcs web ui ehr icd-10-cm revenue cycle management internet

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Optum

About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...