UnitedHealth Group - Service Delivery Manager - Medical Coding

Service Delivery Manager - Medical Coding

Discipline - Medical and Clinical Operations

Industry - Medical Coding

Job Description : General Purpose - The Coding Manager plans, organizes, directs, and controls day-to-day operations of the Coding Department while working with the coding teams and with the leadership to drive the organization business success.

- Manages the dashboards ensuring the productivity and quality of the projects and supports all the upcoming businesses.

Job Responsibilities :

- Management Hire personnel.

- Conduct performance evaluations.

- Counsel employees in performance improvement.

- Conflict resolution, disciplinary action, and coordination of employee schedules for adequate coverage

- Coach coding staff on coding expectations and meeting goals related to both quality and productivity.

- Promote morale by effectively communicating goals, standards, and needs of the department and organization.

- Foster an environment of teamwork and service excellence within the department

- Train new coders and cross train in new areas.

- Participate in performance improvement activities compliance.

- Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding.

Ongoing quality assessment : Perform audits for compliance, maintain the accuracy of coding performed,oversee the capture and analysis of data regarding operational performance and quality control, ensure all-coding is completed with quality and regulatory compliance as the primary objective

- Develop reasonable productivity measures for coding of medical records while balancing quality and-compliance productivity.

- Experience with benchmarking performance and/or standards against identified criteria. Create a plan of-action for improvements as needed.

- Work and communicate with all departments operationally.

- Review workflow and processes and balance workload in coding department to meet targets.

- Monitor coding systems to ensure optimal performance. Recommend upgrades or changes to current-system and participate in selection of new systems.

- Ensure records are coded within established guidelines and corporate requirements while still maintaining-quality

- Ensure proper staffing and distribution of assignments

- Acts as a resource for the coding staff as well as serves as a liaison in the organization to address coding-related issues and questions

- Disseminates changes in coding rules such as correct coding initiative and Coding Clinic. Monitor changes-in laws, regulations, and policies that impact clinical documentation, reimbursement and coding to assure-compliance

- Oversee coding education by preparing and completing materials for internal and external audits, regulatory-changes, and other changes in medical advancements

- Ability to utilize coding/abstracting systems and ensure that appropriate computer systems are updated with

- The annual code changes and any other associated changes or updates.

- Manages and monitor operating budget for the coding section

- Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs,and/or meet departmental and institutional goals and objectives.

No. of Openings - 1

Qualification - Required Skill Set :

- Should have worked as a manager handling minimum of 40 coders for a period of not less than 5 years with hands-on coding experience.

- Should be a certified coder AAPC / AHIMA / CCS/CPC/CPC-H/CCS-P-Should have excellent communication skills.

- Should have handled transitions and client relationship.-Training and domain expertise would be an added advantage.

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