Manager, Clinical Operations

UnitedHealth Group•Eden Prairie, MN

6h•$91,700 - $163,700•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Manager, Acute Coding (Grade 28) manages and is accountable for professional employees and/or supervisors within acute coding operations. The impact of work is primarily at the local level, with decisions influencing multiple groups of employees and internal and external customers. This role sets team direction, resolves problems, provides guidance to staff, and adapts departmental plans and priorities to address business and operational challenges. The manager influences forecasting and planning activities and ensures coding operations support compliant, accurate reimbursement and revenue cycle performance.

Requirements

Active coding credential such as CCS or CPC
5+ years of acute coding experience in a multi-specialty environment
3+ years of coding leadership or supervisory experience
Proven solid leadership, communication, problem-solving, and decision-making skills

Nice To Haves

Experience with electronic health records, encoders, and computer-assisted coding tools (e.g., Epic, 3M, EncoderPro)
Experience supporting revenue cycle performance improvement initiatives
Proven solid analytical skills with the ability to interpret and present data to leadership

Responsibilities

Manages and is accountable for acute coding staff and/or supervisors supporting Acute coding
Sets team direction, establishes priorities, resolves operational and personnel issues, and provides guidance and coaching to team members
May oversee and coordinate work activities of other coding supervisors
Adapts departmental plans and priorities to address business needs, operational challenges, regulatory changes, and workload demands
Influences and provides input into forecasting, staffing models, productivity targets, and operational planning
Ensures compliance with federal, state, payer, and internal coding regulations, policies, and standards
Acts as a subject matter resource to coding staff, physicians, billing, revenue cycle, and operational partners
Leads efforts to maximize reimbursement, improve coding quality, reduce charge lag, and maintain acceptable turnaround times
Oversees coding productivity, quality audits, pended accounts, DNFC reconciliation, and related performance metrics
Uses analytics, benchmarking, and reporting to identify trends, risks, and opportunities and to make data-driven business recommendations
Leads or supports process improvement initiatives impacting ambulatory coding workflows and revenue cycle performance
Coordinates and prioritizes multiple projects and initiatives, ensuring timely completion and alignment with business objectives
Develops, motivates, and retains a competent and well-trained coding workforce through training, coaching, and performance management
Completes probationary and annual performance evaluations and supports continuing education and professional development
Collaborates with physicians, finance, IT, billing, and leadership to support operational goals and customer service excellence
Product, service, and process decisions may impact multiple groups of employees and internal and external customers