Director, FFS Coding Compliance — Remote Leadership

Optum; Eden Prairie (MN); On-site; USD 135,000 - 231,000; Full time

Job summary

Optum is seeking a Director, Compliance - FFS Coding to lead the FFS coding compliance program across inpatient, outpatient facility, and professional services. The role partners with enterprise compliance, clinical, operational, legal, and vendor teams to ensure adherence to coding standards and regulations.

You will drive risk-based audits, training, and remediation efforts while guiding a team of coding professionals.

Qualifications

• CCS, CPC, RHIT or similar coding certification.
• 10+ years of experience with increasing responsibility for FFS coding or related compliance.
• Proven experience with auditing, monitoring and provider education.
• Experience with compliance software, EMR systems and coding platforms.
• Experience working with senior executives.

Responsibilities

• Drive compliance strategy for the FFS-related components of the Optum Coding Compliance program; collaborate with enterprise compliance and business partners to implement that strategy.
• Design and execute a risk-based FFS audit plan to supplement business quality assurance processes. Drive remediation of issues identified through compliance-led audits.
• Manage coding compliance professionals supporting the Optum Coding Compliance program; provide FFS coding expertise to support other members of the Optum business compliance and legal teams.
• Engage with stakeholders at all levels of the organization and evaluate critical processes related to FFS coding compliance.
• Administer program oversight and collaborate with business leaders to support reviews, implementation of requirements, and corrective action.

Skills

Auditing

Monitoring

Provider education

Executive communication

Education

CCS, CPC, RHIT or similar coding certification

Tools

Compliance software

EMR systems

Coding platforms

Job description

Optum is seeking a Director, Compliance - FFS Coding to lead the FFS coding compliance program across inpatient, outpatient facility, and professional services. The role partners with enterprise compliance, clinical, operational, legal, and vendor teams to ensure adherence to coding standards and regulations.

You will drive risk-based audits, training, and remediation efforts while guiding a team of coding professionals.