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  • Franklin, TN

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Certified Coding Quality Analyst Supervisor - OptumInsight - Franklin, TN

UnitedHealth Group • Franklin, TN

Posted 21 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
General Business, Health Care

Job Description

We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)
 
Use your sharp business skills to assist in end - to - end business process activities by creating, controlling and improving business processes by assisting in process design, project implementation for improvement activities, diagnosing process improvement opportunities and develop solutions using principles of process excellence and related tools. Also assists in quality reporting, analysis, audits, developing plans and programs to support continuous quality improvement using a variety of applicable tools.
 
Primary Responsibilities:

End - to - end business process activities creating, controlling and improving business processes
Leads process design and project implementation teams in process improvement activities
Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools
Quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools
Assist in the creation, implementation, and evaluation of Total Quality Management (TQM) programs
Direct design, facilitation, training and evaluation of TQM incentive programs and may oversee quality improvement projects and teams
Manage and optimize the tactical execution of Coding Quality Assurance (QA) projects through proactive QA Auditor  management
Manage and optimize productivity by compiling QA Auditor Production statistics and comparing them against benchmarks
Manage and optimize Inventory Management by holding QA Auditors accountable to complete assigned work
Manage the day - to - day activities of the QA Auditors and assigned resources
Optimize workflows; Identify gaps in processes; Create and implement solutions
Manage specific projects to completion
Implement controls and workflows; Ensure that the proper guardrails are in place
Identify barriers to success; Create and implement solutions
Monitor and manage performance to Financial and Operational projections
Perform Capacity planning and Resource leveling
Compare productivity to capacity plan, Identify variances, and implement proactive solutions to mitigate risk
Provide Inventory and Productivity forecasting
Incorporate feedback from Operational and Financial  to improve performance
 
Required Qualifications:

High School Diploma / GED (or higher)
1+ year of specific experience in documenting processes and practices
Intermediate level MS Office (Word, Excel, & Outlook)
Coding Certification  to include the following: CPC, CCS, RHIA, or RHIT
5+ years working in an Operations /  Production environment
Preferred Qualifications:

Bachelor’s Degree in Business, Life Science, Health Administration or related field
OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the U.S, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
 
What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.
 
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
 
Job Keywords: Healthcare, Medicare Advantage, Franklin, TN, Tennessee
Job ID: 419d-abd2-cc69846e842e
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