At UnitedHealth Group, their mission is to help people live healthier lives. To achieve this goal, they are focused on building a modern, adaptable, innovative and inclusive system of health care services.
Their scale and potential to improve health makes them one of the most visible stewards of America’s vast health care system. Entrusted with both important resources and responsibilities, they are involved on a daily basis in decision-making that has life-changing consequences for millions of Americans.
Post: Lead Medical Coding Analyst - 541023
Job Description:
The Coding Supervisors are given weekly, monthly and quarterly quality and production goals for their individual teams. The progress of each team is monitored by the Associate Director based on reports generated weekly, monthly and quarterly.
-Directly lead/monitor all aspects of performance for a group of 15 - 20 Medical Coders.
-Ensure accurate and timely delivery of data to Team Liaison
-Building and maintaining an effective Team environment
-Build and maintain effective relationships with internal customers (i.e. Team, Managers and Directors etc.)
-Coordinate with the Team to identify process improvement opportunities
-Deliver/facilitate training (both new and ongoing)
-Coordinate with the Team to identify process improvement opportunities Monitor, measure and report Team performance metrics and implement Team incentive programs
-Identify root causes of errors and opportunities for defect reduction
-Analyze and develop overall improvement plans (department and individual)
-Administrative responsibilities as assigned
-Driving Performance Management for the Team
-Ensure that performance metrics are achieved and Building and maintaining an effective Team environment.
-Develop/maintain coder new hire standards
-Maintain coder training materials
-Research and resolution of coding projects as assigned.
-Research and implement revisions to Rules and Regulations which govern inpatient & outpatient physician coding
-Attend seminars related to Coding and Compliance and education of new Payment Systems
-Serve as a coding resource for internal departments within Medicare Advantage
-Assist Directors with intervention of client issues pertaining to chart reviews
-Attend conference calls as necessary to provide information relating to coding and compliance
-Assist with review of client data as related to coding
-Inform the Management of trends identified through the review and validation process
-Provide related weekly, monthly and year end reports of audit findings
-Manage the quality analysis process of the Medicare Advantage Coders
-Direct training as applicable for Medicare Advantage Coders
Candidate Profile:
Desired profile:
5-8 years of total experience in Medical Coding.
Atleast 1.5 years of Team leading experience.
Should have CPC /CCS certification.
Bachelor's degree or equivalent combination of education and experience.
Expert knowledge and articulation of English language.
Proven ability to lead a team in an operational environment.
Effectively expresses ideas and information both verbal and written to individuals.
Self - starter who can manage multiple priorities with minimum direction.
Ability to identify trends and issues and recommend solutions.
Ability to use Microsoft Office Products (Excel and Access).
Additional Information:
Exp: 5-8 Years
Location: Hyderabad
Industry Type: Pharma/ Biotech/Clinical Research
Functional Area: Medical Coding
End Date: 15th Jan., 2014
Job ID: 541023
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