Director, FFS Coding Compliance — Remote

UnitedHealth Group; Eden Prairie (MN); Remote; Confidential; Full time

Benefits offered by this job

Remote work offeI

Job summary

UnitedHealth Group seeks a Director of Compliance - FFS Coding to lead Optum Coding Compliance across inpatient, outpatient, and professional services. The role guides audits, training, and cross-functional actions with senior stakeholders and partners.

Remote-friendly with in-office requirements in certain areas. The leader reports to the VP of Optum Coding Compliance and governs risk-based audits, offshore implementations, and contractual obligations, ensuring adherence to CMS rules and coding

Qualifications

• CCS, CPC, RHIT or similar coding certification is required.
• 10+ years of experience in FFS coding or related compliance functions.
• Experience with auditing, monitoring and provider education.

Responsibilities

• Drive compliance strategy for FFS components across Optum Coding Compliance.
• Design and execute a risk-based FFS audit plan and drive remediation.
• Manage coding compliance professionals and provide expertise to teams.
• Engage with stakeholders at all levels to evaluate processes.
• Oversee program and collaborate with leaders to implement requirements.
• Establish oversight standards and recommend operational improvements.
• Contribute to training, policies, and communications on coding standards.
• Collaborate on implementation projects to ensure compliance with new standards.
• Report FFS coding compliance activities to management.

Skills

Leadership

Auditing

Communication

Cross-functional collaboration

Strategic decision-making

Risk management

Education

CCS

CPC

RHIT or similar coding certification

Tools

EMR systems

coding platforms

compliance software

Job description

UnitedHealth Group seeks a Director of Compliance - FFS Coding to lead Optum Coding Compliance across inpatient, outpatient, and professional services. The role guides audits, training, and cross-functional actions with senior stakeholders and partners.

Remote-friendly with in-office requirements in certain areas. The leader reports to the VP of Optum Coding Compliance and governs risk-based audits, offshore implementations, and contractual obligations, ensuring adherence to CMS rules and coding