Optum Job Vacancy for Manager Medical Coding - Apply Now

Optum Job Vacancy for Manager Medical Coding – Apply Now

Requisition Number: 2228642

Job Category: Medical & Clinical Operations

Primary Location: Hyderabad, Telangana

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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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

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
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Required Qualifications:

Bachelor’s degree or equivalent combination of education
Overall experience of 10 – 12 years, with experience in managing team of managers
Working knowledge of budgeting, cost estimating, capacity utilization principles and procedures
Knowledge of organizational structure, workflow, and operating procedures
Good understanding of US Healthcare Payer Claims & Medical coding
Good understanding of medical coding function (CPT, ICD & HCPCS Codes), understanding of CMS payment policies
Proficient in healthcare reimbursement methodologies
Good analytical and communication skills
Solid interpersonal and communication skills
Solid acumen towards employee engagements & driving customer satisfaction
Ability to develop comprehensive planning and project management
Ability to work effectively with a wide range of stake holders
Ability to effectively handle large teams in a fast moving business environment
Ability to supervise and manage a team of frontline supervisors
Ability to manage a team of 150 to 200 coders
Ability to effectively interface with all levels of coding and auditing personnel (internal / external) and customers