Medical Coding Operation Manager - Davao - Optum Global Solutions

    Optum Global Solutions
    Optum Global Solutions Davao

    1 araw ang nakalipas

    Buong oras
    Paglalarawan

    ROLE AND RESPONSIBILITIES:

    Leadership & Management:

    • Supervise and mentor medical coding staff, including hiring, training, and performance evaluations.
    • Develop and implement policies and procedures for coding operations.

    Operational Oversight:

    • Monitor coding productivity and accuracy to meet organizational goals and compliance standards.
    • Ensure timely completion of coding for inpatient, outpatient, and specialty services.
    • Manage workload distribution and resolve operational bottlenecks.

    Compliance & Quality Assurance:

    • Ensure coding practices comply with ICD-10, CPT, HCPCS, and payer-specific guidelines.
    • Conduct regular audits and implement corrective actions for errors or compliance issues.
    • Stay updated on regulatory changes and communicate updates to the team.

    Collaboration:

    • Work closely with billing, clinical documentation improvement (CDI), and revenue cycle teams to optimize reimbursement and reduce denials.
    • Serve as a liaison between coding staff and other departments for issue resolution.

    Reporting & Analytics:

    • Prepare and present operational reports on productivity, accuracy, and compliance metrics.
    • Identify trends and recommend process improvements to enhance efficiency and revenue integrity.

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