UnitedHealth Group
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Designation
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Service Delivery Manager - Medical Coding
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Job Description
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General Purpose - The Coding Manager plans, organizes, directs, and controls day-to-day operations of the Coding Department while working with the coding teams and with the leadership to drive the organization business success. Manages the dashboards ensuring the productivity and quality of the projects and supports all the upcoming businesses. Job Responsibilities-Management-Hire personnel.-Conduct performance evaluations.-Counsel employees in performance improvement.-Conflict resolution, disciplinary action, and coordination of employee schedules for adequate coverage-Coach coding staff on coding expectations and meeting goals related to both quality and productivity.-Promote morale by effectively communicating goals, standards, and needs of the department and organization.-Foster an environment of teamwork and service excellence within the department-Train new coders and cross train in new areas.-Participate in performance improvement activities compliance.-Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding.-Ongoing quality assessment: perform audits for compliance, maintain the accuracy of coding performed,-oversee the capture and analysis of data regarding operational performance and quality control, ensure all-coding is completed with quality and regulatory compliance as the primary objective-Develop reasonable productivity measures for coding of medical records while balancing quality and-compliance productivity.-Experience with benchmarking performance and/or standards against identified criteria. Create a plan of-action for improvements as needed.-Work and communicate with all departments operationally. -Review workflow and processes and balance workload in coding department to meet targets.-Monitor coding systems to ensure optimal performance. Recommend upgrades or changes to current-system and participate in selection of new systems.-Ensure records are coded within established guidelines and corporate requirements while still maintaining-quality-Ensure proper staffing and distribution of assignments-Acts as a resource for the coding staff as well as serves as a liaison in the organization to address coding-related issues and questions-Disseminates changes in coding rules such as correct coding initiative and Coding Clinic. Monitor changes-in laws, regulations, and policies that impact clinical documentation, reimbursement and coding to assure-compliance-Oversee coding education by preparing and completing materials for internal and external audits, regulatory-changes, and other changes in medical advancements-Ability to utilize coding/abstracting systems and ensure that appropriate computer systems are updated with-The annual code changes and any other associated changes or updates.-Manages and monitor operating budget for the coding section-Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs,and/or meet departmental and institutional goals and objectives.
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