Clinical Quality Analyst| Dallas, TX | Remote

Coding Operations Manager

This position is National Remote. You'll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges.

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities.

If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind:
Caring. Connecting. Growing Together.

This position is full time (40 hours / week), Monday - Friday. Employees have a lot of flexibility however the normal business hours are of 8:00 am - 5:00 pm EST. It may be necessary, given the business need, to extend hours and work occasional overtime or weekends as needed.

This will be on the job training and the hours during training will be aligned with your schedule. Training will be conducted virtually from your home.

• Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum
  360 Coding related business objectives within the client environment
• Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations:
• Executes the integration of the Optum
  360 Coding functions and processes in the facilities they serve
• Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience
• Works collaboratively with HIM, CDI, and Coding Operations to monitor day-to-day coding operations, prebill coding reviews, and prebill quality reviews
• Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency
• Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets
• Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans
  * internal audits for global partners
• Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client
• Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement
• Leads initiatives towards meeting and exceeding employee satisfaction
• Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results
• Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers
• Provides team leadership and promotes successful business operation by:
• Fosters teamwork atmosphere between business and clinical stakeholders
• Provides staff training and mentoring
• Provides development of employees through consistent and constructive feedback geared towards accuracy
• Rewards and recognizes performance and provides leadership direction during the common review process
• Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction
• Other duties as needed and assigned by Optum
  360 leadership, including but not limited to leading and conducting special projects. Develop project work plans, facilitate resource allocation, execute project tasks and obtain assistance from other intra and inter-departmental resources, as required
• Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum
  360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior
• Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects
• Internal audits for global partners
• All duties as assigned

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…