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:

Service Delivery Manage client SLAs (turn-around-time, quality) Production planning - monthly, weekly and daily queue management, movement of resource on need basis Project management - Resource planning as per project scope, risk management, escalation management. Achieve client and organization objectives for a given project Quality Management - Effective monitoring of quality performance, root causes and resolutions to the quality challenges of the team Team Management Goal setting, coaching and feedback, performance management, team development Career Management and development of associates Provide SME and problem solving support for day to day issues Identify training gaps and plan trainings Process improvement Drive efficiency and productivity initiatives Improve client and employee experience by continuous improvements Effective utilization of coders via cross training across different project scopes Client Management Understand and finalize the scope with clients and onsite teams, Manage client interaction over conference calls and/or emails in a professional manger
Compliance Ensure adherence to external and internal quality and security standards (HIPPA/HITECH/ISO) Maintain documentation to demonstrate adherence to compliance standards 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:

Certification in CPC or CCS Worked at least 1+ year as Group coordinator/SME Current team leader experience of 1+ year or less than a year Understanding of US Healthcare industry, including but not limited to HIPAA/HITECH Solid knowledge in Anatomy & Physiology

Preferred Qualifications:

Medical Coding experience of 4+ years Experience in any coding specialty 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.