Easter Seals Jobs

Opportunities with Episource, part of the Optum family of businesses. Join a premier provider of risk adjustment services, software and solutions that’s fueling innovation in the health care industry. Start a rewarding career where your work will empower health plans and medical groups with comprehensive end-to-end solutions designed to navigate health care efficiently. Our culture is rooted in innovation, encouraging our team to stay curious and engaged. By joining us, you become part of a global, remote/hybrid-friendly team dedicated to bridging health care gaps with a solid sense of social responsibility. At Episource, we are enriching lives, including those of our team members through Caring. Connecting. Growing together.

Primary Responsibilities:

• Manage Medical Coding Quality Department, formulate coding auditing quality functions and measurement parameters

• Maintain direct operational costs and margins by assigning the right mix of resources (onshore, offshore, hybrid) for coding operations

• Guide the coding auditing team on auditing priorities, manage their productivity and client communications

• Playing an active role in technology changes at operations end by performing requirements gathering

• Develop managerial/supervisory pipeline internally for future needs of the organization by formulating, implementing and tracking career development plans for highly skilled resources

• Coaching the team in focusing on delivering high quality service with excellent customer experience

• Setting up and maintaining best practices and benchmarks with documentation procedures and ensuring they are designed for customer delight

• Executing performance optimization by collecting relevant data and producing metrics and dashboards on MS Excel

• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Science Education Background (B.Pharm/M.Pharm/Bio-Technology, Bio-Chemical/MBBS etc.)

• Certified HCC/ICD/AAPC/COC/CPC Medical coder

• 15+ years of experience in Managing Large size Medical Coding Operations projects

• Understanding of US Healthcare industry, including but not limited to HIPAA/HITECH

• Demonstrate ability to work with teams across geographies

• Demonstrate ability to lead & motivate a team to achieve business goals

Preferred Qualification:

• Risk Adjustment Coding experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.