Manager, Coding - Remote

About the role

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. The Manager, Acute/Ambulatory Coding (Grade 27) manages and is accountable for professional employees and/or supervisors within 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.

Responsibilities

• Manages and is accountable for coding staff and/or supervisors supporting Acute and Ambulatory 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

Requirements

• Active coding credentials such as CCS or CPC
• 5+ years of acute/ambulatory coding experience
• 2+ years of coding leadership or supervisory experience
• Demonstrated leadership, communication, problem-solving, and decision-making skills

Qualifications

• Experience with electronic health records, encoders, and computer-assisted coding tools (e.g., Epic, 3M, EncoderPro)
• Experience supporting revenue cycle performance improvement initiatives
• Demonstrated analytical skills with the ability to interpret and present data to leadership