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UnitedHealth Group

UnitedHealth Group is looking for a Coding & Reimbursement Manager, OI Provider RCO Middle – Telecommute  #BestJobSearchSiteNearPagosaSprings #EmploymentOpportunitiesNearPagosaSprings #ManagerJobsPagosaSprings

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)The Coding & Reimbursement Manager is responsible for day-to-day management of coding and reimbursement activities. This position serves as a resource to all physicians and employees on coding and reimbursement issues. Support needs may include policy, system, and operational processes. This position reports to the Director of Coding & Reimbursement.Youll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.Primary Responsibilities: Manage and direct activities related to Coding & Reimbursement functions and employees as assigned Oversees surgical specialty, ASC, office based and primary care coding teams Manages the Coding Helpline team and the Shared Services Trainer Implements and monitors quality assurance efforts and maintains coding accuracy metrics Monitor key revenue cycle functions and staff productivity standards to ensure optimal departmental performance Mentors and develops staff and contributes to department meetings Serves as an expert resource to physicians, nursing, technical, and interdisciplinary staff Leads or participates in cross-functional workgroups / committees as needed Assists with the development, implementation, and adherence to policies and procedures Review medical documentation to verify accurate and complete assignment of CPT / HCPCS and ICD10 codes following policies and procedures established by DMG Proactively and reactively research, analyze, and resolve coding and reimbursement issues within clinical, billing, and operations departments Customer Service – interacts positively with all internal and external customers and takes immediate action to meet the needs of physicians, patients, and associates Develops reports and presentations on projects for Senior Management Ensure the DMG fee schedule(s) is maintained consistent with established methodology to ensure optimal reimbursement and appropriate pricing for services Assists with edit and Claims Manager rule building and maintenance Keep abreast of current changes in coding and reimbursement requirements for government programs and other third-party payers and assist in implementing and communicating the changes to physicians and staff Interpersonal / Communication / Relationships – builds effective working relationships and treats others with respect Information Management – accesses, uses, and presents information as relevant to position; demonstrates knowledge of HIPAA privacy and security rules and uses medical information as appropriate to position Makes decisions that consider the impact on other areas of the organization Initiates collaboration with others outside of department as needed Demonstrates commitment to the principles and ethics of the organization Facilitates and supports change within DMG Conduct system testing, provide feedback, and support conversions / implementations  Collaborate with various project teams and departments to ensure optimal performance of revenue cycle processes Assist the Business Office staff with pay or denials, government requests, patient inquiries related to coding or billing issues, and makes decisions on whether to appeal claims for payment Actively participates in meetings and/or seminars and disseminates the information to peers and staff to enhance the knowledge and skills of the organization Demonstrates the ability to educate / train others and assists with various departmental training initiatives. Training environments may include, but are not limited to, new employee orientation, coding classes / programs, training, and support for new practice conversions, Epicare implementation and continuing education Assist with interviewing potential candidates for hire Develop an internal training program for new employees Process payroll and resolve any payroll issues Perform yearly performance reviews on employees Approve time off requests for employees Other duties as assignedYoull 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: Current coding certification (RHIT, RHIA CCS-P, CPC) and maintains certification  7+ years of experience with physician coding and reimbursement rules 7+ years of people management experience in outpatient coding and/or compliance related areas 7+ years of direct medical coding experience Knowledge of diagnostic and procedural terminology, ICD-10, and CPT / HCPCS coding systems, and billing rules Computer skills, including EHR principles and Microsoft Office suite of products Knowledge of physician payment systems  Ability to interpret and analyze data / documentation Ability to demonstrate problem-solving skills in a professional role If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications: Bachelor-level education in Healthcare Management or equivalent combination of related education, experience, training Experience managing a remote / telecommuting team 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)Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.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.Job Keywords: Coding & Reimbursement Manager, OI Provider RCO Middle, RHIT, RHIA CCS-P, CPC, Medical Coding, ICD-10, CPT, HCPCS coding systems, EHR, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Downers Grove, Il, Illinois Recommended SkillsRegistered Health Information TechnicianSchedulingRegistered Health Information AdministratorCertified Professional CoderCpt CodingHealthcare Common Procedure Coding SystemsRecommended JobsManagerReimbursement ManagerAtlanta,GaReimbursement Manager, Atlanta,GaCoding & Reimbursement Manager, OI Provider RCO Middle – TelecommuteUnitedHealth GroupWork From HomeFull Time
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})Senior Account ManagerAtlanta$75,000 – $80,000/Year
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})CJunior Account Manager **ENTRY LEVEL! APPLY TODAY!**CWCAtlanta$44,000 – $56,000/Year
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