Posted 9 hours ago

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

As Associate Director of Coding and Medical Records, you will manage OptumInsight’s global chart review coding and medical records processes supporting OptumInsight’s key internal customers. In this critical role, you will partner directly with client leadership, market leadership and OptumInsight teams globally to ensure risk adjustment coding and medical records services provided by OptumInsight meets and exceeds OptumCare’s expectations.  

Primary Responsibilities:

  • Own end-to-end results for OptumInsight Risk Adjustment chart review programs supporting OptumCare
  • Serve as the subject matter expert on OptumCare specific coding and medical records processes
  • National, centralized “tower” accountable party for inventory management of all units across all vendors, assignment to depts, and controls to ensure all inventory is accounted for
  • Manage coding process end-to-end, including status reporting of coding results, inventory, AI-related processing, and other key performance indicators
  • Drive action plans based on results of coding processes, as needed
  • Collaborate with matrix partners across Operations, Analytics and Compliance to define and execute on targets 
  • Report to leadership on chart inventory progress to goals, by CDO by vendor
  • For vendor reconciliation status files include: DX inbound, DX outbound, retrieval receipt.  
  • Identify gaps in inventory receipt, inventory handoffs, etc. and serve as escalation point to appropriate contact (PEDS, DI, Retrieval Ops, Coding Ops, etc.)
  • Prepare information and present at weekly business meetings, business reviews and CP strategy meetings
  • Strong project management experience desired
  • Dedicated Direct to Optum (DTO) support for chart images received by Optum for coding from retrieval vendor or Optum
  • Coding platform centralized barcode tracking and management


You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 5+ years in an operational role leading large teams to execute on specific production targets
  • 2+ years of experience in process improvement/operations management
  • Proven ability to manage inventory receipt, assignment and completion
  • Willingness to travel globally, typically 2-4 weeks per year
  • Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance

Preferred Qualifications:

  • 7 + years of experience in the healthcare industry
  • 5+ years of production in coding and medical records
  • 5+ years of Risk Adjustment (HCC) coding quality assurance experience

 

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

About the Company

Our mission is to help people live healthier lives and to help make the health system work better for everyone. A Fortune 6 company, we're focused... Read more

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Associate Director of Coding and Medical Records - OptumInsight - Telecommute