18 days old

Clinical Documentation Improvement Manager - Telecommute Middle to Western US

Concord, CA 94519
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The Clinical Documentation Improvement Manager will serve as a subject matter expert while working to implement best practices in Optum client locations. Our staff combine their leadership, experience and understanding of Optum360 technology, structure and methodology solutions to drive results while coordinating efforts with Optum360 Revenue Cycle Optimization team, Optum360 Technology teams, Optum360 Project Management Office, and Optum360 Coding and Compliance team. 

Typical projects for our team include, but are not limited to:

  • Revenue cycle assessments
  • CDI and Coding accuracy/improvement programs
  • Computer Assisted Coding (CAC) Technology Implementation
  • Clinical Documentation Improvement programs and CDI Technology implementation
  • DNFB, Failed Claims and DRG denial reduction 
  • Revenue Integrity and Transfer DRG
  • Alignment of client processes, structure and methodology and Optum technology 
  • Interim management as needed

 If you are located in the Western United States, you will have the flexibility to telecommute* as you take on some tough challenges. 

Primary Responsibilities:
  • Provide revenue cycle management services to client/partners in all areas of the healthcare revenue cycle which includes: 
    • Patient access (scheduling, preregistration, insurance verification/financial counseling) 
    • Registration/Admission (ED, inpatient, outpatient, ambulatory) 
    • Health Information Management (transcription, coding, clinical documentation improvement) 
    • Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution) 
    • Decision support and analytics 
    • Productivity and quality management
  • Successfully lead and manage a diverse group of professionals and personalities on large complex engagements by fostering a collaborative team culture 
  • Orchestrate multiple complex work streams through others by directing and leading, not necessarily doing
  • Document findings, impacts and recommendations within assessment deliverables; responsible for the revenue cycle sections within each deliverable 
  • Collaborate with assessment team (Clinical, IT and PM) in developing overall strategic findings and recommendations based on areas of risk or opportunity identified during interviews 
  • Communicate effectively (written and verbal) to a variety of audiences; must be able to persuade and influence the actions of others; Interactions will range from routine to complex and include formal and informal presentations, one-on-one and group discussions 
  • Prepare final client status reports and create presentations to clients and engagement staff that demonstrate full command of factual material 
  • Manage day-to-day client relationships including executive management 
  • Play a key role in the retention, professional development and performance review of staff, including the mentoring, coaching and recruiting of staff 
  • Identify client/partner barriers in achieving operational excellence 
  • Understand client/partner business metrics and results 
  • Evaluate and analyze client/partner data to understand trends in all areas of the operation 
  • Development of options and recommendations for client/partner improvement 
  • Perform benefit modeling and financial analyses that clearly demonstrate the value of our solution to clients and prospective clients 
  • Collaborate with client/partner revenue cycle team and other departments in order to facilitate resolution of process issues and implement world-class solutions 
  • Provide informed feedback to Optum360 and client/partner executives including assessments of processes, standards, suggestions and improvements 
  • Develop work plans, project tasks and manage projects in accordance with budget 
  • Provide interim staffing services as required 

 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Posted: 2019-11-02 Expires: 2019-12-02

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Documentation Improvement Manager - Telecommute Middle to Western US

UnitedHealth Group
Concord, CA 94519

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