Manager, Clinical Operations

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.

Primary 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

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:

• 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

Preferred Qualifications:

• 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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.