Provider or Coder Education Supervisor – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

Under the direction of the Associate Director of Fee-For-Service Coding Education and with minimal supervision, the Provider/Coder Education Supervisor is responsible for the development and delivery of coding education materials, related to Fee-For-Service coding guidelines, coding updates, software updates, coding and billing compliance, and regulatory updates. The Provider/Coder Education Supervisor creates and delivers education to providers (clinicians), the coding team, quality assurance team and other stakeholders and / or licensed providers to improve the quality of documentation and assure best quality performance and representation of care provided. The Provider/Coder Education Supervisor provides applicable billing/coding and related reimbursement guidelines, to include Federal/state laws and regulatory requirements affecting daily business operations. This information is researched and delivered to providers, coders, quality assurance, and staff through face-to-face or virtual communication, regular network publications, electronic and voice communications. This position requires a close working relationship with providers (and practice staff), coders, quality assurance, and revenue cycle team members. Extensive knowledge of government regulations and applicable reimbursement laws and regulations is required.

Highly collaborative with coding, compliance, practice staff, practice leadership, and regional/sectional leadership to identify coding and billing needs to facilitate positive change within the organization. Responsible for training and education to support professional medical services documentation and coding (i.e., Fee-For-Service). Responsible for partnering with internal compliance staff to ensure adherence to internal and external regulatory standards. Collaborates with providers (clinicians), the coding team, quality assurance team and other stakeholders and / or licensed providers to meet organizational training needs. Assists with new provider onboarding regarding clinical documentation standards, medical coding, and billing.

Position in this function builds and maintains solid collaborative relationships with colleagues in other groups to coordinate coding education activities. Effectively communicates relevant information to the assigned teams, customers, assigned committees, and colleagues.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Creates comprehensive Fee-For-Service coding and billing training materials including and not limited to CPT/ICD-10-CM coding standards and related regulations and / or policies on an ongoing basis
• Customizes training materials to meet myriad organizational objectives and maintain compliance with established coding / billing standards and policies
• Conducts coding and billing training for providers (clinicians and practice staff), coders, quality assurance team, and rother stakeholders
• Creates / maintains an educational library of coding and billing training materials via central repository
• Supervision and / or management of people (team members)

Competencies:

• Extensive knowledge of CPT/HCPCS, ICD-10-CM, Medical Terminology and Anatomy and Medicare provider coding and billing regulations
• Ability to work in a rapidly changing healthcare environment while considering innovative approaches to training and education to enhance performance
• Ability to develop and lead provider/coding professional education efforts related to documentation and coding\improvement is required
• Advanced medical coding and auditing expertise
• Advanced knowledge of clinical coding processes and documentation standards, guidelines, policies, and procedures
• Knowledge of quality assurance and compliance processes in support of documentation improvement and provider education, such as through standard quantitative audit programs
• Highly proficient in educating and training adults
• Familiar with electronic medical records (EMR) /electronic health record (EHR), electronic billing and coding applications, operations, process improvement, organizational development and assessing customer needs
• Highly proficient in Microsoft Word, Excel and PowerPoint
• Advanced interpersonal and communication skills, written and verbal, to communicate effectively and efficiently to various audiences
• Ability to efficiently and effectively gather and exchange data (both internally and externally) with providers and / or other stakeholders within the organization
• Solid analytical skills to interpret clinical data in a multi-specialty, complex, and highly matrixed environment
• Advanced expertise in curriculum development
• Ability to collaborate with and educate a diverse group of people including providers, coding professionals, auditors, and administrative staff
• Comfortable conducting 1:1 and group education sessions
• Effective project management skills
• Experience in supervision and / or management of people (team members)
• Extensive experience managing multiple education / training initiatives at once
• Solid analytical and decision-making skills to adapt quickly to a changing environment while completing multiple prioritized tasks
• Responds to urgent, impromptu, and unplanned situations by assessing their level of importance, instituting appropriate action, preparing reports as necessary, and informing appropriate staff and management. Prioritizes and organizes daily tasks and assignments appropriately

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.

Required Qualifications:

• Certified in professional coding as demonstrated by either Certified Professional Coder (CPC from AAPC} or Certified Coding Specialist (CCS from AHIMA) or other comparable coding / training certification(s)
• 5+ years direct experience in Fee-For-Service medical coding, clinical medical record documentation, and reimbursement
• 5+ years of experience in instructional educational experience, training provider small and large groups. Past auditing and solid education / training background in coding, reimbursement, and provider education
• Experience in supervision and / or management of people (team members)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.