Coding Inpatient Subject Matter Expert

Overview

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives?

Join us to start Caring. Connecting. Growing together.

• Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum
  360 Coding related business objectives within the client environment
• Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations.
• Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience
• Works collaboratively with HIM, CDI, Client, and Coding Operations to monitor day to day coding operations, complete prebill coding reviews, and prebill quality reviews
• Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency
• Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets
• Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans
• Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client
• Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement. Leads initiatives towards meeting and exceeding employee satisfaction
• Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results
• Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers
• Other duties as needed and assigned by Optum
  360 leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required
• Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum
  360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects

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.

• AAPC or AHIMA (CCS, CPC, RHIT or RHIA) coding credential
• 5+ years of experience in hospital coding
• Experience with computer assisted coding technologies and Epic coding workflow
• Experience working collaboratively with CDI and/or Quality leadership in partnership to improve reimbursement and coding accuracy
• Proficiency with:
  Microsoft Excel (specifically managing large data sets)
• Proficiency with PowerPoint (specifically creating and presenting for the purpose of training a variety of different audiences)

• Demonstrated excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
• Demonstrated ability to work with a variety of individuals in executive, managerial and staff level positions.
• Demonstrated to possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum
  360 and our client organization(s)

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…