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:

Periodically assessing the coders' proficiency and routinely carrying out RCA 
Identify training gaps and conduct training
Conducting the knowledge checks and providing feedback or a development plan for the coder who have not cleared the IRR, test, or quiz
Clarifying and ensuring that all project inquiries are answered in accordance with the timeframe
Review the error log captured by the auditors
Make sure that the quality and security standards (HIPPA, ISO, and ISMS) are followed both internally and externally, and educate staff members about them
Conducting training and refresher sessions to continuously increase the efficiency of the coders
Helping the team work to achieve and maintain their quality goals
Framing and updating the process guidelines on a need basis
Flexible to swap between projects based on the business requirements
Quality Improvement Initiatives
Recognising achievements 
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:

AAPC/AHIMA Certification  1+ years of experience as an SME / QA  Experience in Risk Adjustment Coding  Solid knowledge in Anatomy & Physiology  Understanding of US Healthcare industry, including but not limited to HIPAA/HITECH 

Preferred Qualification:

4+ years of Medical Coding experience 

Personal Attributes/Job Specific Competencies 

Effective planning - Competent  Goal/Objective setting - Competent  Decision Making - Competent  Report Writing - Competent  Interpersonal Skills - Competent  Communication - Competent  Reading and Comprehension - Advanced  Taking Initiatives - Competent  Teamwork & Team Building - Basic 

Ability Level 

Expert - Fully conversant with all applications of the skill/knowledge in a range of environments / would be recognised by others as expert in this skill / could be expected to train  Advanced - Thorough understanding of skill/knowledge area / able to pass on skills in this area / recognised by colleagues as having proven skill / knowledge in this area  Competent - Sufficient skill to apply in a day-to-day operations in a fluctuating environment / does not require supervision for  Basic - Limited understanding of skill/knowledge area. Sufficient to perform basic tasks

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.