Deputy Manager - Medical Coding Quality

UnitedHealth Group; Hyderabad; On-site; INR 400,000 - 600,000; Full time

Job summary

UnitedHealth Group’s Optum unit is seeking an experienced Medical Coding Lead in Hyderabad to oversee coding teams, ensure compliance, and drive client interactions. You will guide performance reviews, audits, and process improvements while mentoring staff.

The role requires 10+ years of coding experience with 3+ years in a leadership capacity, and a solid understanding of medical terminology and billing guidelines.

Qualifications

• 10+ years of medical coding experience with 3+ years in a Team Lead role.
• Certified coder - AAPC / AHIMA - CCS/CPC
• Knowledge of medical terminology, anatomy/physiology, and coding/billing requirements
• Proven ability to lead teams to achieve goals and maintain high quality standards

Responsibilities

• Lead and manage coding teams, performance and discipline for assigned projects
• Oversee client interactions and maintain strong client relationships
• Support quality initiatives and process improvements
• Coordinate internal audits and ensure compliance with regulations
• Provide regular coaching and performance feedback to staff
• Assist senior management in planning and implementing operational changes

Skills

Team leadership

Coaching

Analytical skills

Communication skills

Client relationship management

Quality assurance

Attrition management

Mentoring

Education

Graduate/POSTGRADUATE in Life Sciences or Allied Medicine

AAPC/AHIMA certification (CCS/CPC)

Job description

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.

Primary Responsibilities:

• Be able to work closely with SME, Auditor and Trainer and identify training needs for outliers
• KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition
• Quick turnaround using logical understanding of data
• Manages overall personnel, performance, and discipline of the assigned project(s)
• Provide expertise and leadership in assigned functional area
• Manage relationship with internal stakeholders and functions
• Manage all client interaction and client communication. Should front end the relationship with the client
• Review and analysis of periodic reports and metrics
• Evaluation of operational practices and procedures
• Provide support to quality initiatives targeted towards process improvements
• Actively involved in the internal audit support, ensuring all compliance parameters are met
• Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
• Provide direction to staff; ensure resolution of problems; sets priorities
• Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)
• Managing attrition and building retention strategies
• Preparation of annual business plans including operating budgets
• Negotiating solutions, resolving conflicts and anticipating/handling critical situations
• Providing regular performance feedback and giving frequent formal and informal coaching sessions
• Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:

• Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others
• Certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P
• 10+ years of coding experience with 3+ years of experience as a Team Lead
• Knowledge of medical terminology, human anatomy/ physiology, pathophysiology
• Knowledge of organizational structure, workflow, and operating procedures
• Maintain knowledge of coding and billing requirements and regulatory changes
• Proficient in healthcare reimbursement methodologies
• Proven ability to manage and enable teams to reach their goals
• Proven good analytical and communication skills
• Proven solid interpersonal and communication skills
• Proven solid acumen towards employee engagements & driving customer satisfaction
• Proven ability to effectively provide 1 on 1 coaching
• Proven ability to monitor absences and overall day to day operations
• Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness

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.